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Online Mortgage Application

BC RESIDENTIAL MORTGAGES

To apply for a mortgage online, simply fill in the information required and hit the "submit" button at the bottom. If you would prefer, you can also print this application and fax it to: BC Residential Mortgages, (250) 503-2466. We look forward to working with you in your financial endeavours.

APPLICANT: Please provide the following contact information:

Name
Title
Street address
Address (cont.)
City
Province
Postal code
Country
Work Phone
Home Phone
FAX
E-mail

Please advise your date of birth:

Date of birth

CO-APPLICANT: Please provide the following contact information:

Name
Title
Street address
Address (cont.)
City
Province
Postal code
Country
Work Phone
Home Phone
FAX
E-mail

Please advise your date of birth:

Date of birth

MORTGAGE DETAILS:

Please advise the type of mortgage you are applying for: (check one only)

New Mortgage
Second Mortgage
Refinance
Renewal

Enter the purchase price of the property in the space provided below.

Enter the closing date in the space provided below.

PERSONAL INFORMATION OF APPLICANT

APPLICANT'S SIN #:

Enter your previous address (if less than 3 years above) in the space provided below.

Enter your number of dependants in the space provided below.

Enter your marital status in the space provided below.

Enter your current employer in the space provided below.

Enter your gross annual income in the space provided below.

Enter your occupation in the space provided below.

Enter the name of your previous employer in the space provided below.

Enter the gross annual income for your previous employer in the space provided below.

Enter your previous occupation in the space provided below.

PERSONAL INFORMATION OF CO-APPLICANT

CO-APPLICANT'S SIN #:

Enter your previous address (if less than 3 years re above) in the space provided below.

Enter your number of dependants in the space provided below.

Enter your marital status in the space provided below.

Enter your current employer's name in the space provided below.

Enter your gross annual income in the space provided below.

Enter your occupation in the space provided below.

Enter your previous employer's name in the space provided below.

Enter your gross annual income for your previous employer in the space provided below.

Enter your previous occupation in the space provided below.

ASSETS

Cash Value.

Principal Residence Value (if owned).

Value of Rental and/or Other Properties.

Value of Vehicles.

Value of Other Assets.

LIABILITIES

Credit Cards (balances owing)

Mortgage - Balance Outstanding

Balance of Loans Outstanding

Other Liabilities

PROPERTY DETAILS

Enter the address of the proposed property purchase in the space provided below.

What is the square footage (livable)?

What are the gross property taxes?

What is the average monthly heating bill?

If the property is a condo, what are the monthly fees?

Enter the appraised value of the property in the space provided below.

Enter the appraisal date in the space provided below.

What is your "subject to financing" removal date?

APPLICANT: Are you self-employed?:

Yes
No

CO-APPLICANT: Are you self-employed?:

Yes
No

Please provide any credit references in the space below.