Mortgage Application

The name of your Mortgage Professional *

Purpose of this application? *

Which Province do you live in? *

Applicant

First & Last Name *

Date of Birth *

Marital Status *

# of Dependents *

Email Address *

Best Phone Number *

Do you *

Rent

Own

How much is rent per month? *

Estimated value of current home? *

Street Address, City, Province, Postal Code *

How long at this address? *

Previous Address (if current is less than 3 yrs)

How long at this address?

Current Employer, complete address and phone number? *

Job Title *

How long in industry *

How long at current Job *

Income Type *

Gross Annual Income $

Hourly Rate? *

Guaranteed Hours per week? *

Previous Employer, Complete Address, Job Title (if current is less than 3 years)

Income Type

Gross Annual Income $

Hourly Rate?

Guaranteed Hours per week?

How long at Job

Is there a co-applicant on this file *

Yes

No

Co-Applicant

First and Last Name

Date of Birth

Same address as Applicant

Yes

No

Street Address, City, Province, Postal Code

How long at this address?

Previous Address (if current is less than 3 yrs)

How long at this address?

Current Employer, complete address and phone number?

Job Title

How long at current Job

How long in industry

Income Type

Gross Annual Income $

Hourly Rate?

Guaranteed Hours per week?

Previous Employer, Complete Address, Job Title (if current is less than 3 years)

Income Type

Gross Annual Income $

Hourly Rate?

Guaranteed Hours per week?

How long at current Job

How long in industry

Personal Financial Statement Summary

Assets

	Description	Value
CASH (bank)	Description	Value
Savings (bank)	Description	Value
Current Home (if owned)	Description	Value
Other Real Estate (if owned)	Description	Value
RRSP (bank)	Description	Value
Stocks and/or Bonds (bank)	Description	Value
Vehicles (year/make/model)	Description	Value
Vehicles (year/make/model)	Description	Value
Support/Alimony	Description	Value

Liabilities

	Description	Value
Loan (bank)	Description	Value
Line of Credit (bank)	Description	Value
Line of Credit (secured) (bank)	Description	Value
Credit Card (bank)	Description	Value
Credit Card (bank)	Description	Value
Mortgage (bank)	Description	Value
Mortgage (bank)	Description	Value
Loan Vehicle (bank)	Description	Value
Support/Alimony	Description	Value

NOTES

Initial Disclosure Document - Saskatchewan ONLY

NOTICE TO BORROWER(S)

Mortgage brokerages must inform you whether a lender has an ownership interest in the mortgage brokerage, the number of lenders the mortgage brokerage is capable of submitting an application to, and the names of those lenders. This information is required by Saskatchewan legislation, and must be provided to you at the earliest opportunity and not less than two (2) business days before you:

- commit yourself to enter into the mortgage; OR

- make any payment or committing to make any payment in connection with the mortgage, other
than fees or charges paid to the mortgage brokerage for its services.

1. The mortgage brokerage IS NOT directly or indirectly owned in whole or in part by a mortgage lender.

2. The mortgage brokerage is capable of submitting your mortgage application to multiple lenders at the present time. A list will be provided to you upon approval.

I Consent

By Checking this box

I/we authorize the brokerage to obtain a credit report for the purposes of my/our mortgage application and I/we authorize the brokerage to exchange such credit information with potential mortgage lenders, mortgage insurers or service providers for the purpose of securing mortgage financing. Pursuant to the Real Estate Act, the brokerage is required to maintain the application and credit information for a minimum period of 3 years.

I consent

By Checking this box

I/we hereby consent to the brokerage to collect, use, and disclose my/our personal information for the purposes of securing a mortgage on my/our behalf. In addition, I/we authorize the Brokerage to verify any information pursuant to my/our application from any source. A copy of our Privacy Policy can be obtained at www.cmlmortgages.com.