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Loan Details

Personal Information - Applicant #1

Identification

Current Living Address

Present Employer

Employer Address:

Personal Information - Applicant #2

Identification

Current Living Address

Present Employer

Employer Address:

Financial Information

Assets

Type

Where/Financial Institution

Amount/ Value

Cash in bank

Deposit on property being purchased (if applicable)

Automobile: present value

Value of present home (if owned)

Investment/vacation properties

Stocks, bonds, Mutual funds etc.

RRSP's

Other Assets

Liabilities

Type

Where/Financial Institution

Balance Owing

Monthly Payment

Bank Loans

Credit Cards

Owing on Automobile

Amount owing on first mortgage

Amount owing on second mortgage

Mortgage Number on first mortgage

Finance company loans and other debts

Alimony/Child Support

I/we warrant and confirm that the information given in the loan application form is true and correct and I/we understand that it is being used to determine my/our credit responsibility. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureau) and each such source is hereby authorized to provide you with such information. I/we also understand that the information given in the loan application form as well as other information you obtain in relation to my credit history may be disclosed to potential mortgage lenders, financial intermediary and loan insurers, 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.

Liabilities

Please read the paragraph above prior to sending completed application. By transmitting the online loan application you are accepting the terms of the paragraph noted above.