mortgage calgary

CALGARY MORTGAGE CORP DATE OF APPLICATION SOURCE OF APPLICATION FULL NAMES (FIRST) (MIDDLE) (SURNAME) PAGE 1 OF 2 CO-APPLICANT CURRENT ADDRESS HOME # WORK # CELL # FAX # OTHER AGE DATE OF BIRTH M D Y CO-APPLICANT'S AGE DATE OF BIRTH M D Y MARITAL STATUS NO. OF DEP. APPLICANT'S SOCIAL INSURANCE # CO-APPLICANT'S SOCIAL INSURANCE # AMOUNT REQUIRED $ PURPOSE OF LOAN DATE REQUIRED OWN RENT R&B YEARS OF RES. TOTAL AMOUNT PER MO PURCHASE PRICE $ REGISTERED OWNERS / LANDLORD DATE OF ACQUISITION MARKET VALUE $ PROPERTY DESCRIPTION PROPERTY TAXES DATE 1ST. MTG. OPENED 1ST MTG. HOLDER AND ADDRESS MORTGAGE AMOUNT PAYMENTS $ BALANCE $ ARREARS % MORTGAGE REFERENCE # DATE 2ND MTG. OPENED MORTGAGE AMOUNT PAYMENTS $ BALANCE $ ARREARS % 2ND MTG. HOLDER AND ADDRESS MORTGAGE REFERENCE # IF OTHER MORTGAGES GIVE DETAILS PREVIOUS ADDRESS AND YEARS OF RESIDENCE CURRENT EMPLOYER OCCUPATION LENGTH OF EMPLOYMENT PREVIOUS EMPLOYER OCCUPATION LENGTH OF EMPLOYMENT CO-APPLICANT'S EMPLOYER OCCUPATION LENGTH OF EMPLOYMENT CO-APPLICANT'S PREVIOUS EMPLOYER OCCUPATION LENGTH OF EMPLOYMENT OTHER SOURCE OF INCOME APPLICANT'S INCOME BANK / BRANCH ACCOUNT NO. CO-APPLICANT'S INCOME BANK / BRANCH ACCOUNT NO. $ OTHER INCOME CREDIT UNION ACCOUNT NO. $ TOTAL INCOME TRUST COMPANY & OTHERS ACCOUNT NO. APPLICANT'S PRESENT DEBTS PAID OUT ACCOUNTS NAME AND ADDRESS TO WHOM INDEBTED BANKS / FINANCE / CREDIT UNIONS GOODS COVERED AND / OR PURPOSE ORIGINAL AMOUNT OF CREDIT LIMITS PAYMENTS BALANCE DECLARED VISA / M.C. / OTHER RETAIL ACCOUNTS TOTALS COMPLETE REVERSE CLIENT:_____________________________________ PAGE 2 OF 2 ASSETS CASH...................................................................... DEPOSIT................................................................ GIC......................................................................... TERM DEPOSIT..................................................... BONDS................................................................... STOCKS................................................................. MUTUALS............................................................... OTHER................................................................... RRSP...................................................................... RRSP...................................................................... LIFE INS. COMPANY.............................................. LIFE INS. COMPANY.............................................. VEHICLE................................................................. VEHICLE................................................................ OTHER.................................................................... OTHER................................................................... OTHER.................................................................... OTHER................................................................... PERSONAL RES.................................................... LIABILITIES $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ $ ______________ ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT ........................................................ $ ___________ $ ______________ PMT OTHER ........................................... $ ___________ $ ______________ PMT OTHER .......................................... $ ____________ $ _____________ PMT PMT OTHER .......................................... $ ____________ $ _____________ OTHER .......................................... $ ____________ $ _____________ PMT 1ST ................................................ $ ____________ $ _____________ PMT 2ND ................................................ $ ____________ $ ____________ PMT REAL EST............................................................... ...............................................$ _______________ (INCOME) $ ______________ 1ST ................................................ $ ____________ $ _____________ PMT 2ND ................................................ $ ____________ $ _____________ PMT REAL EST............................................................... ...............................................$ _______________ (INCOME) $ ______________ 1ST ................................................ $ ____________ $ _____________ PMT 2ND ............................................... $ ____________ $ _____________ PMT REAL EST............................................................... ...............................................$ _______________ (INCOME) $ ______________ 1ST ................................................ $ ____________ $ _____________ PMT 2ND ............................................... $ ____________ $ _____________ PMT REAL EST............................................................... ...............................................$ _______________ (INCOME) $ ______________ 1ST ................................................ $ ____________ $ _____________ PMT 2ND ............................................... $ ____________ $ _____________ PMT TOTAL RENTAL INCOME...... $ ______________ TOTAL LIABILITIES........................ $ ____________ $ _____________ TOTAL PMTS NET WORTH................................... $ ____________ $ _____________ TOTAL ASSETS...................................................... $ ______________ NET WORTH................................... $ ____________ $ _____________ HAVE YOU EVER BEEN BANKRUPT? YEAR? IF YES TO ANY PLEASE EXPLAIN DISCHARGED YEAR? ARE THERE ANY WRITES OR JUDGMENTS AGAINST YOU WE WARRANT AND CONFIRM TO YOU THAT THE INFORMATION GIVEN IS IN ALL RESPECTS, ACCURATE AND COMPLETE; AND WE HEREBY CONSENT TO HAVING CMC CONDUCT OR CAUSE TO BE CONDUCTED A PERSONAL CREDITINVESTIGATION; AND ANY QUESTIONS ON COMPLETION PLEASE CONTACT US AT 403-244-0842 OR EMAIL: jimremote@telusplanet.net ____________________________________ (WITNESS) ____________________________________ (APPLICANT) ____________________________________ (DATE) ____________________________________ (WITNESS) ____________________________________ (CO-APPLICANT) ____________________________________ (DATE)