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 Mortgage Application Canada
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Privacy Statement: The following information is used by Duncan Seward and the Mortgage Group for the purposes of granting credit to the applicant. We will not sell or disclosed information to any third parties. Duncan Seward and the Mortgage Group respect the right to privacy of both clients and applicants.

Applicants Name:
Dr. License #: Social Insurance # Date of Birth:

Mon. Day: Yr.

Applicants Name:
Dr. License #: Social Insurance # Date of Birth:

Mon. Day: Yr.

Address Information

Present Address: City, Province: How Long? Telephone:
Yrs. Months.

Postal Code: E-mail: Monthly Payment: Landlord Tel:


$

Home - Title, Lease or
Rental Agreement in name of : 		Mortgage Holder: Contact Person:


Former Address (if less
than 2 years at present):		 How Long? Telephone:
Yrs. Months.
City, Province: Postal Code:  
 

Employment Information

Present Employer and
Address (Street & City):		 Position: Monthly Gross: How Long? Telephone:

Yrs. Mon.

Other Income or Other Employment: Position: Monthly Gross: How Long? Telephone:



Yrs. Mon.

Prior Employer and
Address (Street & City) If less than 2 years.		 Position: Monthly Gross: How Long? Telephone:

Yrs. Mon.

Spouse Employer and
Address (Street & City):		 Position: Monthly Gross: How Long? Telephone:

Yrs. Mon.

Please describe your current credit position.


Name: Email:
Subject:

Please click the submit button only once. The form might take a couple of seconds to process and send.

The undersigned declare(s) that the statements made herein are for the purpose of obtaining financing and are to the best of my/our knowledge true and correct. The applicant(s) consent(s) to the lessor and its bank making any inquiries it deems necessary to reach a decision on this application and consent(s)to the disclosure at any time of any credit information about me/us to any credit reporting agency to anyone with whom I/we have financial relations. Clients who are self-employed or paid by commission warrant that all provincial and federal taxes have been and are current and that they are not in default with any level of government or government body. A photocopy of this authorization shall be as valid as the original.

This site is under copyright by the bcmortgageactioncenter.com. We respect the privacy of our clients. We are licensed home mortgage brokers. This site is the property of www.duncanseward.com. If you wish to contact the web master he can be reached at 604-644-0826.