Mortgage Application

REAL ESTATE
Financial Information Sheet

Applicant 1:   First Name: Last Name: Date of Birth: (ex. dd/mm/yyyy) Soc. Insurance #: Address:   Unit #: Street #: Street Name: City: Province: Postal Code: How long at current address: Yrs:   Months: Marital Status: Married   Separated   Dependants: Residence Phone #: Business Phone #: Ext: E-mail Address: Place of Employment:   (Name & Address) Annual Salary: How long: Yrs:   Months: Previous Employer:    (If less than 3 years) If Self Employed, how long? Two Year Average NET INCOME: Applicant 2:   First Name: Middle Initial Family Name: Date of Birth: (ex. dd/mm/yyyy) Soc. Insurance #: Address:   If same as Applicant_1 address Unit #: Street #: Street Name: City: Province: Postal Code: How long at current address: Yrs:   Months: Marital Status: Married   Separated   Dependants: Residence Phone #: Business Phone #: Ext: E-mail Address: Place of Employment:   (Name & Address) Annual Salary: How long: Yrs:   Months: Previous Employer:    (If less than 3 years) If Self Employed, how long? Two Year Average NET INCOME: Combined Assets:   Cash: Gift: RSP's: Stocks/Bonds: Auto's Value: GIC's: Home Equity:   Other Assets (Specify): Please pre-approve/pre-qualify me for:   Price Range: to      OR     as much as possible   I would like to put $  Down.                  OR   0%     5%     10%     15%     25%     35%   I want to re-finance my property:     Previous Credit issues:   Yes  No    Bankruptcy:  Yes  No When:    Comments:     Are you currently working with a realtor?   Yes   No     By submitting your application, you are applying for a Mortgage and: a) Certify that the above information is true and complete, and is provided with the intent to be relied upon by the Lender in Granting the Mortgage. b) Authorize RMA Real Mortgage Associates, David Yuzpe, Senior Mortgage Consultant to obtain such factual and Investigative Information regarding me from other as permitted by law, to furnish other consumer grantors and the Credit Burea from the Mortgage application and to retain this application for our records. I accept these terms: