Single Borrower Online Credit Application Manny Johar Mortgage Agent, Broker lic# 12079 Please note: EXPERT MORTGAGE only finances Canadian properties. After you have completed the form, please click on the submit button to complete the application process. First Name Last Name Address City Province/State Country Postal/Zip Code Home Phone Number Work Phone Number Mobile Phone Number Email SIN Number Birth Date Birth Month JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Birth Year Accommodations Own HomeRent Monthly Rent $ Credit Details Bad Credit? yesno If yes, please explain: Income & Employment Employer Phone Number Position Work Address Salary Years Employed If less than three years with current employer Previous Employer Phone Number Position Salary Years Employed Your Assets Bank Name Bank Location Bank Balance Deposit/Equity on Real Estate Automobile R.R.S.P. Other Assets Your Liabilities Loan/Mortgage 1 Loan/Mortgage 2 Loan/Mortgage 3 Credit Card 1 Credit Card 2 Credit Card 3 Loan Requirements Complete Section A OR B, then continue A: If You Are Purchasing a Home Purchase Price Closing Date Where is Downpayment Coming From? B: If You Are Refinancing Your Present Home Original Purchase Price Date Purchased Current Value How Did You Arrive At This Value? Why Are You Refinancing? When Do You Need The Money? Property Information Property Address Dwelling Size (square feet) Bedrooms Bathrooms Taxes Condo Fees Recent Renovations YesNo If yes, indicate rental income If yes, indicate rental income YesNo Recent Renovations Mortgage/ Financing Requirements Mortgage Details Amount Type Term Please choose an option1 year2 years3 years4 years5 yearsOpen Date Purchased Please choose an option5 years10 years15 years20 years25 years Current Value WeeklyMonthly General Information Where did you learn about EXPERT MORTGAGE? Comments/Questions? What we expect from you. Honesty Please provide all important details to us. To process any credit application we will need to review your history. Lenders may understand negative items, but will surely reject an application with wrong information. Full disclosure is the best policy. Loyalty We work hard to assist you and strive to offer a high level of personal service. If you find a more competitive rate elsewhere, please let us know. Simply backing away following lender negotiations may jepoardize our relationships for the next client. Please maintain your integrity, loyalty and confidence in our service! Before submitting, you acknowledge the following: I understand you may contact a credit bureau about me for personal/credit data. I consent to release such data to other credit grantors or credit bureaus. A finders fee may be paid to the broker in connection with the application. The amount will be disclosed to the applicant upon request. Acknowledged electronically by pressing SUBMIT button in on-line credit application.
