Quick Mortgage Application

To: Greg Stanley
From: (E-mail address)
1. Is this for a Canadian residence? yes no
2. In what Province?
3. Purpose of mortgage
4. Applicant Name
5. Address
6. Number of years at current address.
7. S.I.N.
8. Birth date
9. Phone Number
10. Co-Applicant name
12. S.I.N.
13. Birth date
14. Applicant Occupation
15. Number of years at present job
16. Annual Income
17. CO-Applicant Occupation
18. Number of years at present job
19. Annual Income
20. Value of property or home
21. RSP
22. Value of vehicle.
23. Other Assets
24. Other
25. Car loan outstanding
26. Car payment
27. Current mortgage on home
28. Mortgage payment
29. Minimum monthly payments (credit cards and loans)
30. Other Debts
31. Comments or special requests

By submitting this application you agree to have Gregory Stanley, your personal mortgage broker, contact you to verify this application and discuss the very best mortgage options for you. You confirm that the information given in this short mortgage application form is true and correct and that you authorize Gregory Stanley, of HomeNWork Mortgages, to obtain a credit report on you to determine your credit responsibility and rating.

Gregory Stanley will not charge you any fees for obtaining any conventional residential mortgage! If your loan application is non-conventional, you will be informed of this fact in writing before any work is commenced whenever
lender or broker fees may apply