Phone 519-351-5303
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The more information you provide helps us get you qualified for better savings in your next mortgage.
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CO-APPLICANT
First Name:
Address:
Last Name:
City:
Birth Date
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SIN #
FINANCIAL INFORMATION
Applicant Employer:
Employer Address
Employer City:
Position:
Duration:
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1 Year
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3 Years
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Income per year
Co-Applicant Employer:
Employer Address
Employer City:
Position:
Duration:
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Income per year
ASSETS
LIABILITIES
Cash / Investments
Mortgages
Description
Amount
Description
Payments
Balance
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Automobiles
Loans / Credit Cards
Description
Amount
Description
Payments
Balance
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Other Assets
Other
Description
Amount
Description
Payments
Balance
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Total Amount
total assets
Totals
total payments
total balances
Total Net Worth:
I/We warrant and confirm that the information given in the mortgage application 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 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 inquires from any other lender or credit bureau, such information on my loaning account as you consider appropriate and I/We 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 weather or no the relative mortgage is approved.
We warrant and confirm that the information given in the mortgage application 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 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 inquires from any other lender or credit bureau, such information on my loaning account as you consider appropriate and I/We 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 weather or no the relative mortgage is approved.
I / We have read and agree to the above
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Head Office | Bax Mortgage Group Inc., 131 Wharncliffe Rd S., 3rd floor,London ONT N6J2K4 Phone 519-433-4800