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nse#10464 Clear Form Print Form

Mr. Mr.

January 1 January 1

Ontario Ontario

Ontario Ontario

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 Tell Us About Your Employment
BORROWER C0-BORROWER
E
M CURRENT EMPLOYER: __________________________________________________ CURRENT EMPLOYER: ________________________________________________

ADDRESS / DEPARTMENT: ______________________________________________ ADDRESS / DEPARTMENT: ____________________________________________

P CITY / PROVINCE: ______________________________________________________ CITY / PROVINCE: ____________________________________________________

L JOB TITLE / POSITION: __________________________________________________ JOB TITLE / POSITION: ________________________________________________

O YEARS THERE: ______ FULLTIME ________ PART TIME ______ SEASONAL ______ YEARS THERE: ______ FULLTIME ________ PART TIME ______ SEASONAL____

Y HOW MANY YEARS IN THIS LINE OF BUSINESS? ____________________________

GROSS ANNUAL INCOME (BEFORE TAXES): ________________________________

HOW MANY YEARS IN THIS LINE OF BUSINESS? __________________________

GROSS ANNUAL INCOME (BEFORE TAXES): ______________________________

M DO YOU COLLECT / EARN OTHER INCOME? DETAILS:______________________ DID YOU COLLECT / EARN OTHER INCOME? DETAILS: ____________________

E
IF LESS THAN THREE YEARS, WHERE DID YOU WORK PREVIOUSLY? IF LESS THAN THREE YEARS, WHERE DID YOU WORK PREVIOUSLY?
N PREVIOUS EMPLOYER: __________________________________________________ PREVIOUS EMPLOYER: ________________________________________________

T GROSS ANNUAL INCOME:________________________________________________ GROSS ANNUAL INCOME: ______________________________________________

JOB TITLE / POSITION: __________________________ YEARS THERE: ________ JOB TITLE / POSITION: ________________________ YEARS THERE: ________

F Tell Us About Your Finances

I ASSETS (MARKET VALUE) LIABILITIES FINANCIAL PAYMENT/MO. TOTAL DEBT
INSTITUTION
N PRINCIPAL RESIDENCE ____________________ CURRENT MORTGAGE ______________________ ______________________ ____________________

A CASH / SAVINGS ____________________ PERSONAL LOANS ______________________ ______________________ ____________________

N STOCKS / BONDS ____________________ LINE OF CREDIT ______________________ ______________________ ____________________

C AUTO (YR., MAKE, MODEL) ____________________ CAR PAYMENT ______________________ ______________________ ____________________

I AUTO (YR., MAKE, MODEL) ____________________ CAR PAYMENT ______________________ ______________________ ____________________

RRSP’S (AMT. & INSTITUTION) ____________________ RRSP LOAN ______________________ ______________________ ____________________
A OTHER REAL ESTATE ____________________ OTHER MORTGAGE ______________________ ______________________ ____________________

L PERSONAL EFFECTS ____________________ CREDIT CARDS ______________________ ______________________ ____________________

We Need Your Authorization

S
By signing below you affirm that the information you have given in this Application is true and complete and that you have not withheld any
I information. We will rely on the information you have given to decide on your Application. You also agree to the terms below.

G
N Date Applicant Signature Co-Applicant’s Signature

CONSENT TO COLLECT AND USE PERSONAL INFORMATION

A When you apply for a mortgage with us, you agree that:
1) We may collect and use personal information from you and about you for the following purposes: (a) to understand your needs
T (b) to determine the suitability of our products and services for you (c) to determine your eligibility for our products and services
(d) to establish, manage and offer products and services that meet your needs (e) to provide on-going service and (f) to meet our
U legal and regulatory requirements.
2) We may use, give to, obtain, verify, share and exchange credit and other information about you with others including credit bureaus,
R mortgage insurers, credit insurers, registries and other persons with whom you may have financial dealings, as well as any other
person as may be permitted or required by law. You also authorize any person whom we contact in this regard to provide such
information to us.
E We may ask you for your Social Insurance Number to use in verifying and reporting credit information to credit bureaus and credit reporting
agencies. You may refuse to consent to its use or disclosure for these purposes.