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Online Application Form

Please fill out the following application form. Use the TAB button to move to the next field.
Required Fields *

Mortgage Application

This application will be completed in:
(Type of Currency)
Mortgage Amount:
(Optional)
Mortgage Term:
(Optional)
Mortgage Amortization Period:
(Optional)
Real Estate Agent Name:
 
 
Please Tell Us About Yourself

* First Name :
Middle Name:
* Last Name:
* Home Phone :
* Work Phone:
Fax :
* Postal Code:
* E-mail:
* Address :
* Mailing Address:
Do You Rent or Own : Rent Amount: No. of years at present address:
Previous Address if current address is less than 3 Years: Postal Code:
* Date-of-Birth : * Social Insurance Number: Marital Status:
No. of Dependents : Age of Dependents:
 
Please Tell Us About Your Spouse or Co-Applicant

First Name: Middle Name: Last Name Work Phone:
Date-of-Birth: Social Insurance Number::
 
 
Please Tell Us About Your Job

Employer:
Address:
Occupation: How long have you worked there?
Base Annual Income: Pay Type(Salary, Commission, etc.):
If you been here less than 3 years were did you work before?
How Long? Base Annual Income: Pay Type:
 
Please Tell Us About Your Spouse's or Co-Applicant's Job

Employer:
Address:
Occupation: How long have you worked there?
Base Annual Income: Pay Type(Salary, Commission, etc.):
If you been here less than 3 years were did you work before?
How Long? Base Annual Income:: Pay Type:
 
Please Tell Us About Any Other Income That You May Receive

Description: How Long: Amount:
Description: How Long: Amount:
 
Please Provide Us With The Following Financial Information

Bank Name: Address: ACCT: Value:
Bank Name: Address: ACCT: Value:
Bank Name: Address: ACCT: Value:
Term Deposits/GIC's: Value:
Life Insurance(Cash Value): Value:
Personal and Household Effects: Value:
Stocks and Bonds: Value:
Mutual Funds: Value:
RRSP's/401k/IRA: Value::
Other Assets(Describe): Value:
Automobile Year: Automobile Make: Value:
Automobile Year: Automobile Make: Value:
Principal Residence: Value:
Real Estate Address: Value:
 
Please Tell Us About Your Liabilities

Credit Card Lender: Monthly Payment: Balance:
Credit Card Lender: Monthly Payment: Balance:
Credit Card Lender: Monthly Payment: Balance:
Personal Loans Lender: Monthly Payment: Balance:
Personal Loans Lender: Monthly Payment: Balance:
Personal Loans Lender: Monthly Payment: Balance:
Other Debts Lender: Monthly Payment: Balance:
Other Debts Lender: Monthly Payment: Balance:
Auto/Boat/RV-Loan/Lease: Monthly Payment: Balance:
Auto/Boat/RV-Loan/Lease: Monthly Payment: Balance:
Auto/Boat/RV-Loan/Lease: Monthly Payment: Balance:
Mortgages/Rent: Monthly Payment: Balance:
Principal Residence: Monthly Payment: Balance:
Mortgages/Rent: Monthly Payment: Balance:
Comments  

Client Consent for Mortgage Application With the Whistler Mortgage Company
(hereinafter refferred to as "WMC")

In connection with our application for credit, we hereby take notice and consent to: you gathering personal information about us, you procurring and referring to a consumer report or credit bureau respecting us, containing personal information and/or credit information. We hereby consent thereto and to the disclosure of such information to other credit grantors, consumer reporting agencies or to comply with legal and regulatory requirements. WMC may assign this application to the lender of their choice and they may, as Agent for the Applicants, execute such applications as may be required. WMC also may accept on the Applicants behalf any commitment issued by a lender on terms in accordance with this application. We agree that a referral fee for the mortgage may be obtained by WMC from the lender and retained by WMC as fee for services provided.

We, the Applicants agree to pay WMC on demand, all costs, without limiting the generality of the foregoing, legal fees, appraisal fees, application fees and taxes incurred on our behalf, irrespective of whether this application is withdrawn or cancelled at any time by us or whether it is approved or rejected by any lender.

WMC has an ongoing commitment to ensure the personal information we gather is accurate and remains confidential and private. More information can be obtained in this regard from WMC at 604-935-5600

Please Type (I AGREE)
Applicant Name Co-Applicant Name


 

 
 

WHISTLER MORTGAGE COMPANY LTD.
an affiliate of The Mortgage Goup 


mail@whistlermortgage.com | www.whistlermortgage.com
Toll Free:1-866-393-2233 | Ph: 604 935 5600 | Fx: 604 935 5699