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SAM SABAH KADHUM - The Mortgage Group

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INITIAL QUESTIONS

WHAT TYPE OF MORTGAGE APPLICATION IS THIS?

WHAT IS THE PURPOSE OF THIS MORTGAGE REQUEST?

HOW WILL THE PROPERTY BE USED?

DO YOU CURRENTLY OWN YOUR OWN HOME?

PERSONAL INFORMATION

PRINCIPAL APPLICANT		CO-APPLICANT
FIRST NAME
LAST NAME
BIRTHDATE	// mm/dd/yyyy]		// mm/dd/yyyy]
SIN

CURRENT ADDRESS		CURRENT ADDRESS
STREET	UNIT		UNIT
CITY/PROV
POSTAL CODE
YEARS THERE	YEARS MONTHS		YEARS MONTHS

HOME PHONE
WORK PHONE
CELL PHONE
EMAIL

EMPLOYMENT INFORMATION

PRINCIPAL APPLICANT		CO-APPLICANT
EMPLOYER
ADDRESS
CITY/PRO
POSITION
ANNUAL $
YRS EMPLYD

ASSETS & LIABILITIES INFORMATION

PRINCIPAL APPLICANT
ASSETS
	SAVINGS ACCOUNT BALANCE
	CHEQUING ACCOUNT BALANCE
	RRSP BALANCES
	STOCKS / BONDS
	VEHICLE(S) VALUE
	RESIDENCE MARKET VALUE
	OTHER REAL ESTATE
	OTHER

LIABILITIES	COMPANY	BALANCE
LOANS


CREDIT CARDS


MORTGAGES

SUBJECT PROPERTY INFORMATION

DESCRIPTION

STREET

NOTES

UNIT

CITY/PROV

POSTAL CODE

PURCHASE PRICE $

DOWNPAYMEN

MORTGAGE $

I/We warrant and confirm that the information given in this mortgage application is true and correct and I/we understand that it is being used to determine my/our credit responsibility and will be forwarded to a financial intermediary and/or mortgage lender. I/We authorize, you and any financial intermediary and/or mortgage lender to whom this application was forwarded (individually or collectively defined as the "Recipients"), to obtain any information the Recipients may require relative to this application from any sources to which the Recipients apply and each source is hereby authorized to provide the Recipients with such information. The Recipients are furthermore authorized to disclose, in response to direct inquiries from any other lender or credit bureau, such information on my loan request as the Recipients consider appropriate, and I agree to indemnify the Recipients against any and all claims in damages or otherwise arising from such disclosure on the Recipients part. The Recipients are also authorized to retain the application whether or not the relative mortgage is approved.

Online Applications
Please read the paragraph above prior to sending completed application. By transmitting the online mortgage application you are accepting the terms of the paragraph noted above.


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