Personal Information
Primary Applicant Co Applicant
First Name ____________________Init _____ First Name __________________________ Init _____
Last Name ____________________________ Last Name __________________________________
SIN _______________________________ SIN_____________________________________
Date of Birth (M/D/Y) __________________ Date of Birth (M/D/Y) ______________________
Marital Status _____________________ Dependants ______________________
____________________
Home # Cell # Work # Can you be called here? ( Yes/ No)
Email addresses _____________________________________________________________________________
Present Address
______________________________________________________________________________________________
Apt No. Street City Prov Postal
How long at this address ______________ Rent or Own _________ Monthly Payment ________________________
_______________________________________________________________________ __________
Previous address
(if above is <3yrs) City Prov Postal
Employment Information
_____________________________________________________________________________________________
Present Employer Street City Prov Phone #
__________________________________________________________________________________ __________
Position - (Full time/Part Time) Salary/Hourly Rate Start Date Contact Name
_________________________________________________________________________________
Previous Employer (If above is < 3 yrs) Street City Prov Phone #
_____________________________________________________________________________________________
Position - (Full time/Part Time ) Salary/Hourly Rate Start Date Contact Name
__________________________________________________________________________________
Co Applicant Employer Street City Prov Phone #
_____________________________________________________________________________________________
Position - (Full time/Part Time) Salary/Hourly Rate Start Date Contact Name
_____________________________________________________________________________________________
Previous Employer (If above is < 3 yrs) Street City Prov Phone #
Assets
Property Address _________________________________________________ Value _____________________
Car ( Year, Make, Model ) __________________________________________ Value _____________________
Car ( Year, Make, Model ) __________________________________________ Value _____________________
Savings and Investments (Bank or Investment Co) _____________________ Value ____________________
RRSPs (Bank or Investment Co) ____________________________________ Value ___________________
Other Assets ____________________________________________________ Value ___________________
Other Assets ____________________________________________________ Value __________________
Liabilities
Mortgage (Bank/Other) ______________________________ Balance ____________________ Pmt _______________
Car Loan/Lease(Bank/Other) _________________________ Balance ____________________ Pmt _____________
Loan (Bank/Other) _______ __________________________ Balance ____________________ Pmt ____________
Loan (Bank/Other) __________________________________ Balance ____________________ Pmt _____________
Line of Credit (Bank/Other) __________________________ Balance _____________________ Pmt ____________
Other (Bank/Other) _________________________________ Balance _____________________ Pmt _____________
Credit Card (Bank/Other) ____________________________ Balance _____________________ Pmt ____________
Credit Card (Bank/Other) ____________________________ Balance _____________________ Pmt _____________
Credit Card (Bank/Other) ____________________________ Balance ______________________ Pmt ____________
Student Loan (Bank/Other) ___________________________ Balance ______________________ Pmt ____________
Banking Details
Which Bank do you deal with ________________________________ For how long _________________
Property Details
Details of the home you would like to buy
Purchase Price ______________________ Address ___________________________________________________
Amount of down payment ___________________________ (from own savings / gift from family)
(please circle one)
If your down payment is from the sale of a home,
or if you are refinancing
Address _________________________________________________ date purchased __________________________
Approx. Value _____________________________________ Purchase Price _______________________________
Age of Home ______________ Ownership (Joint / One Name), Name __________________________________
(circle one)
Mortgage lender ____________________________________ Maturity Date (M/D/Y) ______________________
Balance _______________ Payment ___________ Includes Property Tax (Yes /No) CMHC insured (Yes /No)
Mortgage Architects Client Consent
We, Mortgage Architects in accordance with our privacy policy and our obligations at law, collect, receive, use and disclose personal information about you, our client, for the purposes of: verifying the information provided; assessing your credit-worthiness; establishing credit and hold limits; maintaining our client relationship; presenting your mortgage application to various lenders and insurers for the purpose of securing and/or renewing a mortgage and/or related services and providing information to you about other products offered or approved by us, our affiliates, related entities or other third party financial partners that we believe may be of interest to you We may also disclose your personal information under strict confidentiality restrictions to (i) any potential purchaser of our business and their advisors, (ii) any third party service providers to whom we may outsource our business functions and (iii) any parties involved in the securitization, assignment or pledge of loan(s)/mortgage (s) that are obtained through us.
By signing this form (or giving your verbal consent), you consent to our collecting, using and disclosing your personal information, at any time during the application and on an on-going basis thereafter, for the foregoing purposes, and to carry out these purposes you agree that we may disclose your personal information to and receive your personal information from:consumer reporting agencies, credit bureaus, real estate appraisers, your bank(s) or other financial institutions with whom you have or have had dealings, your past mortgage brokers, your present and past employers and such other third parties who may have information about your financial status. If there is more than one applicant, you also agree that we may collect, use and disclose personal information about each of you from the other for the purposes listed above. Without limiting the generality of the foregoing, you agree that if a mortgage default insurer is assigned to your application, such mortgage default insurer may obtain personal information about you from a credit reporting agency from time to time, and may use such information for any purpose related to the mortgage default insurance in connection with your application. You agree that the approval or granting of any mortgage by a lender to you, with or without mortgage default insurance, is not to be construed or relied on by you as representing the value or condition of any underlying security or that it confirms that you have the ability to repay the mortgage debt.
If you do not wish to receive any information on any other products offered or approved by us, and providing information to you about other products offered or approved by us, our affiliates, related entities or other third party financial partners that we believe may be of interest to you, please initial the box where indicated [or indicate your refusal verbally].
NO, you may not send me any information on other products
You hereby agree that Mortgage Architects and your independent mortgage planner____________________ may use and retain your personal information for the forgoing purposes for seven (7) years after the later of a) the date of your latest application to us, and b) the date that all of your loans/mortgages contracted through us have expired or were terminated. A copy of our privacy policy and procedures summary is available on our website: www.mortgagearchitects.ca. Alternatively, you may contact our privacy compliance officer at 1-877-802-9100.
Mortgage Architects and your independent mortgage planner may receive from a lender fees or program incentives which vary with the mortgage interest rate and terms accepted by you. Fees and program incentives may be money, points or goods and services having value to the recipient.
Different lenders may provide Mortgage Architects and your independent mortgage planner with different fees and incentives for similar products. A lender’s fees and incentives may also be dependent on the amounts and types of mortgage products originated through Mortgage Architects and your independent mortgage planner.
By signing this form (or giving your verbal consent), you acknowledge that Mortgage Architects and your independent mortgage planner may receive fees or program incentives from a lender.
For phone transactions: (verbal consent is not used for Credit Bureaus, and is for Privacy discussion only)
Telephone consent given on _____________(date) by ______________________________
[name of client (s)] and consent taken by Keith Stapleton ______________________________ [signature]
For all other transactions: I hereby give my consent:
Primary Applicant ___________________________________ Date ____________________
Co Applicant __________________________________ Date ____________________
* Warning : If you decide to send this Consent Form and any accompanying documentation by electronic mail you acknowledge that this mode of transmission may not be secure and you will not hold Mortgage Architects liable if any information transmitted to us electronically is received, used or disclosed by an unintended recipient
Legal*3015509.2
Keith Stapleton 49 Elizabeth Ave. #105, St. John’s, NL Ph: 709-754-7607, Fax: 888-813-1567, www.keithstapleton.com
Mortgage Architects 6505B Mississauga Rd., Mississauga, ON, L5N1A6 Phone: 877-802-9100
|