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Glossary

You are now in a secure application form which will be forwarded to a financial institution you have selected and is powered and operated by Clearview Mortgage Corp. O/A Verico Clearview Mortgage.

APPLICATION FOR MORTGAGE FINANCING

Transaction Type:

If same as Applicant

Applicants information

Co-Applicants Information

Name:

eMail:

Home Address:

City:

Province:

Postal Code:

Status:

Own
Rent
Mthly Rent or Mort $
For years

Own
Rent
Mthly Rent $
For years

Existing Mortgage
(if own)

Residence Phone:

Date of Birth: (mm/dd/yyyy)

Social Insurance Number:

Marital Status:

MORTGAGE INFORMATION
Requested Mortgage Amount:	$
Purchase Price or Current Value:	$
Down Payment or Own Equity:	$
Closing Date (mm/dd/yyyy)
Property Address: (Property to be mortgaged)
City:
Province:

EMPLOYMENT INFORMATION
	Applicants Information	Co-Applicant Information
Employer:
Address:
City:
Province:
Postal Code:
Phone:
Position:
Total Annual Income:	$	$
Income Type:	Salary / Hourly Self-Employed Commissioned	Salary / Hourly Self-Employed Commissioned
Years there:

ASSETS & LIABILITIES

ASSETS:

LIABILITIES:

Cash in Bank:	$
Real Estate:	$
Automobile:	$
(Year / make)
2nd Automobile	$
(Year / make)
Stocks / Bonds / RRSP's	$
Other Assets:	$

	BALANCE	MTHLY PAYMENT
Mortgages:	$	$
Total Credit Cards:	$	$
Personal Loans:	$	$
Other Liabilities:	$	$

PROPERTY INFORMATION
Occupancy:
Type:
Style:
Age:
Garage Type:
Tenure:
Condo Fee:
Living Space:	sq. ft.
Lot Size: (Frontage x Depth)
Property Taxes:	/yr

COMMENTS

Credit Consent

In connection with my credit application, I hereby take notice and agree that Clearview Mortgage Corp. O/A Verico Clearview Mortgage may be procuring and may be referring to a credit reporting agency respecting me/us containing credit information, and/or credit information. I/we herby consent hereto to the disclosure of such information to other credit grantors of consumer reporting agencies. I acknowledge, that a finder’s fee may be paid to the broker by the credit granting institution.