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Bill Laurie

William Laurie

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 White Rock Mortgage Broker

BC Mortgages

ONLINE APPLICATION

Required fields indicated in red.

I am applying for:
APPLICANT:

First Name: MI: Last Name:
SIN:

DOB: Month: Day: Year: Marital Status:
No. of Dependents:

Current Address:
Postal Code:

Rent Own
How Long - Years: Months:
Rent: $

Home Phone: Alt. Phone: Fax:
Email:

Previous Address(es) (3 year total history required):
 
Previous Address 1:
Postal Code:
How Long (yrs):

Previous Address 2:
Postal Code:
How Long (yrs):

APPLICANT'S INCOME:
Employer:
Address:

Phone: Occupation:
Annual Income: $

How Long - Years: Months:
Time in Current Occupation -
Years: Months:

Income Type: If other, please specify:

Previous Employer(s) (3 year history required):
Employer 1: Occupation:
How Long (yrs):

Annual Income:
$ 		Income Type:
If other, please specify:

Employer 2: Occupation:
How Long (yrs):

Annual Income:
$ 		Income Type:
If other, please specify:

SPOUSE OR CO-APPLICANT:

First Name: MI:
Last Name:

SIN: DOB: Month: Day: Year:
Marital Status:

No. of Dependents: Relationship to Applicant: 

Current Address:
Postal Code:

Rent Own
How Long -
Years: Months:
Rent: $

Home Phone: Alt. Phone: Fax:
Email:

Previous Address(es) (3 year total history required):
 
Previous Address 1: Postal Code:
How Long (yrs):

Previous Address 2:
Postal Code:
How Long (yrs):

SPOUSE OR CO-APPLICANT'S INCOME:
Employer:
Address:

Phone: Occupation:
Annual Income: $

How Long - Years: Months:
Time in Current Occupation - Years: Months:

Income Type: If other, please specify:

Previous Employer(s) (3 year history required):
Employer 1: Occupation:
How Long (yrs):

Annual Income: $ Income Type:
If other, please specify:

Employer 2: Occupation:
How Long (yrs):

Annual Income: $ Income Type:
If other, please specify:

OTHER INCOME EITHER OF YOU MAY RECEIVE:
(Ex: rental income, investments, alimony, tips, trust funds. Please describe)

How Long (yrs):
Amount:

How Long (yrs):
Amount:

PLEASE PROVIDE US WITH THE FOLLOWING FINANCIAL INFORMATION


ASSETS: Bank Address Type
Value

Bank Account 1:
$

Bank Account 2:
$

Bank Account 3:
$

Term Deposits/GICs:
$

RRSP's:
$

Stocks & Bonds:
$

Mutual Funds :
$

Personal & Household Effects:
$

Other Assets (describe):
$
   
 
$

Automobiles: Year & Make:
$

  Year & Make:
$

Real Estate : Principal Residence: Rental Income: $
$

  Other 1: Rental Income: $
$

  Other 2: Rental Income: $
$

  Other 3: Rental Income: $
$

LIABILITIES:

 
Lender
Monthly Payment
Balance

Credit Card 1: $ $

Credit Card 2: $ $

Credit Card 3: $ $

Personal Loans : $ $

Other Debts 1: $ $

Other Debts 2: $ $

Auto/Boat/RV Loan/Lease: $ $

Personal Guarantees or Co-Signatures: $ $


MORTGAGES:

Address Lender Interest
Rate 		Renewal
Date		 Payment Balance

% $ $

% $ $

% $ $

% $ $


DETAILS OF PROPERTY TO BE MORTGAGED:

Type of Dwelling:
Dwelling square footage:
Dwelling Age:

Heating Type:
Lot Size :
Garage Type:
Garage Size :


Comments:

By submitting this online application, I/we hereby authorize Consumers Choice Mortgages Inc. to procure credit reports on myself/ourselves, and to release this information to prospective mortgage lenders as is required for the purposes of securing approvals for mortgage financing for myself/ourselves. To review Consumers Choice Mortgages Inc. Privacy Policy and Code of Ethics statements please click HERE.

  
  

Unit 9 - 15174 20th Avenue | Surrey, BC V4A 8S1

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Vancouver Mortgage 2nd Mortgages
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