Primary Borrower
Title:
First Name:
Middle Initial:
Last Name:
Date of Birth:
Sex:
SIN: (optional)
Marital Status:
Dependants:
Home Phone: ()  
Work Phone: ()  
Email:

Address 1:
Address 2:
City:
Province:
Postal Code:
Time at address:   yr     mnth  
Dwelling Status:
Employment Information
Current Employer:
Job Description:
Annual Income:
How long:   yr     mnth  
Income Type:
Additional Income:
Previous Employment
(if less than 3 years with current employer)
Previous Employer:
Job Description:
Annual Income:
How long:   yr     mnth  
Co-Applicant
Title:
First Name:
Middle Initial:
Last Name:
Date of Birth:
Sex:
SIN: (optional)
Marital Status:
Dependants:
Home Phone: ()  
Work Phone: ()  
Email:

Address 1:
Address 2:
City:
Province:
Postal Code:
Time at address:   yr     mnth  
Dwelling Status:
Employment Information
Current Employer:
Job Description:
Annual Income:
How long:   yr     mnth  
Income Type:
Additional Income:
Previous Employment
(if less than 3 years with current employer)
Previous Employer:
Job Description:
Annual Income:
How long:   yr     mnth  
Loan Details
Purpose of Loan:
reason  
Sale Price:
Down payment:
Mortgage Amount:
Required by:
Property Details
Address:
Street:
Municipality:
Province:
Postal Code:
MLS Number:
Property Type:
Property Title:
Description of Property
Lot Size:
Square Footage:
Age of Building:
Property taxes:
Assets
Value of Home:
Cash in Bank:
Deposit on Purchase:
Other Real Estate:
Automobiles:
RRSPs:
Stocks, bonds, etc:
Other:
Liabilities
Lender Balance Owing Monthly Payment

Mortgage on Home:
Personal Loans:
Other Liabilities:
Car Loans/Leases:
Credit Cards:
Child Support/Alimony:
General Information
Are there any suits or judgements against you or pending against you?
Have you ever gone through bankruptcy?
Are any of your assets pledged or in any other manner unavailable for payment of your debts?
Are any of your assets presently involved in a marriage or separation agreement?
Are you the endorser or guarantor of anyone else’s debt?
Are you the endorser or guarantor of any leases or contracts?

The above information is submitted to enable RMT Mortgage Group to consider a mortgage loan, and is to the best of my/our knowledge and belief a true statement of my/our personal information. In submitting this information, I/we hereby consent to RMT Mortgage Group obtaining such credit reports and other information as RMT Mortgage Group may deem necessary at any time in connection with this application for a mortgage loan. I/We hereby consent to the disclosure of my/our personal and credit information to any credit reporting agency, financial institution, legal firm, title insurance company, mortgage insurance company and RMT Mortgage Group. I/We also consent to receive periodic mortgage account information.

Your privacy is important. We are 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. Please review our privacy policy or contact us to discuss these policies.

I have read and understood the above statement and by clicking the "Submit Application" button, agree to the policies and procedures necessary to review my mortgage application.

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