MORTGAGE APPLICATION

I use this form solely for the purpose of mortgage qualification. Once filled out, it will remain strictly confidential. The information will be used to quickly verify your credit rating. This form is secure, so please provide the following information to the best of your ability to help me get started on finding the best mortgage for you. There is no cost, obligation or commitment by submitting this form.

Primary Applicant Information

First Name: Last Name: DOB: SIN: Marital Status:Dependants:

Email: Home Phone: Cell Phone: Work Phone: Ext:
Address: City:
Province: Postal Code:

Current Employer: Occupation:
Income: Income Period: Length of Employment:

Previous Employer (if less than 3 years): Occupation:
Income: Income Period: Length of Employment:

Co-Applicant Information (if applicable)

First Name: Last Name: DOB: SIN:
Marital Status:Dependants:

Email: Home Phone: Cell Phone:
Work Phone: Ext:
Address: City:
Province: Postal Code:

Current Employer: Occupation:
Income: Income Period:Length of Employment:

Previous Employer (if less than 3 years): Occupation:
Income: Income Period:Length of Employment:

Assets

Asset: Value $: Asset: Value $:
Asset: Value $: Asset: Value $:
Asset: Value $: Asset: Value $:
Asset: Value $: Asset: Value $:

Liabilities

Liability: Balance: Payment/Month:
Liability: Balance: Payment/Month:
Liability: Balance: Payment/Month:
Liability: Balance: Payment/Month:
Liability: Balance: Payment/Month:
Liability: Balance: Payment/Month:
Liability: Balance: Payment/Month:
Liability: Balance: Payment/Month:

How did you hear about me?

Source:
Referral's Name (if applicable):

By filling out this secure application, I hereby authorize Mortgage Architects to obtain a credit report and make any necessary inquiries regarding my mortgage application and to release this information to any approved lender who may be willing to provide funds on my behalf as stated in the Mortgage Architects. Privacy Policy.