* Please use the 'Tab' key to move between fields. Your Information   Applicant Co-applicant Name Address City Province Postal code Home phone Business phone E-mail address Date of birth Social ins. no. Employer Occupation Years there Annual income Previous employer Occupation Years there Annual income Credit history no late payments a few late payments many late payments bankruptcy   Financial Information Assets Liabilities Balance Monthly Payments Cash Bank loans RRSPs Credit cards Vehicles Car loans Real Estate Mortgages Other Line of credit     Support payments     Other loans           Vehicles Model Year     0     1     2     3     Mortgage Information Property address         Property Type single family rental commercial vacant land farm other         Would you like your mortgage pre-approved? yes no         What type of financing do you need? purchase renewal second mortgage refinance equity take out Current Lender     Mortgage amount Rate type fixed variable convertible     Home value or purchase price Payment frequency monthly semi-monthly bi-weekly weekly     Downpayment or equity Term 10 year 5 year 3 year 1 year 6 month     Source of down payment Amortization 25 year 20 year 15 year 10 year 5 year     Closing or renewal date Taxes Year built Bedrooms 1 2 3 4 5 other Garage 0 1 car 2 car 3 car Storeys 1 1.5 2 Size (sq. feet) Water Municipal Well Sewer Municipal Septic Questions or comments                  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. I/we authorize Mortgage Network London Inc. to obtain any information you may require relative to this application from any sources to which you may apply and each such source is hereby authorized to provide you with such information. You are furthermore authorized to disclose, in response to direct enquiries from any other lender or credit bureau, such information on my loaning account as you consider appropriate, and I agree to indemnify you against and save you harm from any and all claims in damages or otherwise arising from such disclosure on your part. You are also authorized to retain the application whether or not the relative mortgage is approved.  I/We acknowledge that Mortgage Network London Inc. may be paid a referral fee from the mortgage lender for placement of this mortgage. How did you hear about Mortgage Network? internet another client Bell phone book referred by real estate agent referred by lawyer flyer/advertisement Phone Guide Ad lowerallyourbills.com other