Mortgage Loan Application PERSONAL INFORMATION – APPLICANT 1 (please provide a full 3 years of residential history) First name: Middle name: Last name: Home number: Mobile number: Work number: Email address: Date of Birth (mm/dd/yyyy): Social Insurance Number (SIN): Marital Status (single, married, separated, widowed, divorced, common-law): Current street address: City: Province: Postal Code: How many years and months have you lived at the above address: If you are renting, please provide the current monthly rental payment: APPLICANT 1: if you have lived at the above address for less than 3 years, please complete below: Previous street address: City: Province: Postal Code: How many years and months have you lived at the above address: Previous street address: City: Province: Postal Code: How many years and months have you lived at the above address: PERSONAL INFORMATION – APPLICANT 2 (please provide a full 3 years of residential history) First name: Middle name: Last name: Home number: Mobile number: Work number: Email address: Date of Birth (mm/dd/yyyy): Social Insurance Number (SIN): Marital Status (single, married, separated, widowed, divorced, common-law): Current street address: City: Province: Postal Code How many years and months have you lived at the above address: If you are renting, please provide the current monthly rental payment: APPLICANT 2: if you have lived at the above address for less than 3 years, please complete below: Previous street address: City: Province: Postal Code: How many years and months have you lived at the above address: Previous street address: City: Province: Postal Code: How many years and months have you lived at the above address: EMPLOYMENT INFORMATION – APPLICANT 1 (please provide a full 3 years of employment history) Current employer name: Current employer street address: City: Province: Postal Code: Position Title: Paid hourly or salary: Hourly rate (if applicable): Annual salary (if applicable): How many years and months have been with the current employer: APPLICANT 1: if you have been employed, with current employer, for less than 3 years, please complete below: Previous employer name: Previous employer street address: City: Province: Postal Code: Position Title: Paid hourly or salary: Hourly rate (if applicable): Annual salary (if applicable): How many years and months were you employed with this previous employer: Previous employer name: Previous employer street address: City: Province: Postal Code: Position Title: Paid hourly or salary: Hourly rate (if applicable): Annual salary (if applicable): How many years and months were you employed with this previous employer: EMPLOYMENT INFORMATION – APPLICANT 2 (please provide a full 3 years of employment history) Current employer name: Current employer street address: City: Province: Postal Code: Position Title: Paid hourly or salary: Hourly rate (if applicable): Annual salary (if applicable): How many years and months have been with the current employer: APPLICANT 2: if you have been employed, with current employer, for less than 3 years, please complete below: Previous employer name: Previous employer street address: City: Province: Postal Code: Position Title: Paid hourly or salary: Hourly rate (if applicable): Annual salary (if applicable): How many years and months were you employed with this previous employer: Previous employer name: Previous employer street address: City: Province: Postal Code: Position Title: Paid hourly or salary: Hourly rate (if applicable): Annual salary (if applicable): How many years and months were you employed with this previous employer: ASSETS (list all assets, current home, cars, RRSPs, stocks, bonds, cash savings, TFSAs, GICs, cottages, or other properties that are owned here or in any other country) Description of Asset Value of Asset LIABILITIES (please list all loans, debts, and obligations – spousal support or child support payments. Also provide details of any CO-SIGNOR or GUARANTOR position you might have on a loan for someone else’s debt) Have you ever declared bankruptcy or completed a consumer proposal? if yes, what was the date that you completed it: If you are purchasing a home, what dollar amount are you allocating towards your down payment – you may include home EQUITY amount, if your home is being sold: If you are buying a home, you should set aside 1.5% to 2% of the Purchase Price, to cover CLOSING COSTS. For an explanation of closing costs, please speak with your Realtor, or with Elizabeth Blair at Mortgage Edge. CURRENT MORTGAGE OBLIGATIONS – APPLICANT 1 & APPLICANT 2 Lender name / Bank: Street Address of the property: City: Province: Postal Code: What is the balance of the mortgage: Mortgage reference number (on your annual mortgage statement): What is the expiry date/end date of the current mortgage: What are your annual property taxes: What are your monthly condo / maintenance fees (if applkicable): What is the square footage of your home: What is your home’s LOT size (please provide this in feet): Do you pay your taxes directly to the City or is this included with your current mortgage payment: OTHER SOURCES OF INCOME (please list all other sources of income: child support, spousal support, rental income, pension) Description Amount received per month CONSENT FORM I/we warrant and confirm that the information given in the mortgage application form is true and correct and I/we understand that it is being used to determine my/our credit responsibility and to evaluate and respond to my/our request for mortgage financing. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureaux) and each source is hereby authorized to provide you with such information. I/we understand, acknowledge and agree that the information given in the mortgage application form as well as other information you obtain in relation to my credit history may be disclosed to potential mortgage lenders, mortgage insurers, other service providers, organizations providing technological or other support services required in relation to this application and any other parties with whom I/we propose to have a financial relationship. I/we further acknowledge and agree that each potential mortgage lender, mortgage insurer or service provider to whom you provide the mortgage application and/or my/our personal information is permitted to receive such application and information and maintain records relating to me/us and my/our mortgage application and to hold, use, communicate and disclose personal information about me/us, including my/our social insurance number(s) (SIN) if I/we provide it, and collect personal information from me/us, you and from third personal, including credit bureaux, credit reporting and collection agencies, financial institutions, my/our past and present employers, creditors and tenants, my/our spouse or any other person who has information about me/us for the purposes of recording, evaluating and responding to my/our application for mortgage financing or related activities and I/we specifically consent to the release and disclosure of personal information by such persons to and among you and each potential mortgage lender, mortgage insurer or other service provider. I/we hereby certify that all information given by me/us, on this mortgage application, is true and complete. Please print your name here: Signature of Applicant 1: Date signed: Please print your name here: Signature of Applicant 2: Date signed: Please return completed application to Elizabeth Blair by fax to: (905) 707-6823 or you may scan your application and send it as a .pdf file to eblair@mortgageedge.ca. Your privacy is important. Mortgage Edge is committed to respecting and protecting your privacy and security. We have implemented measures to protect the privacy and security of your personal information through strict policies and practices in compliance with applicable Federal and Provincial privacy legislation. Elizabeth Blair, Mortgage Edge License M08005880 / Brokerage License # 10680 Head office: Park Place Corporate Centre, 15 Wertheim Court, Suite 210 Richmond Hill, Ontario L4B 3H7 Email: eblair@mortgageedge.ca Phone: (905) 510-5785 Fax: (905) 707-6823