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Mortgage Information      
Applying for      
     



Applicant
Co-Applicant
* Name:  
* Mailing Address:  
* City  
* Province:    
* Postal Code:  (A2B 3C4)

 (A2B 3C4) 
* How long at Address:  
* Home Number: (123-456-7890) (123-456-7890)

Email Address:  
Date of Birth: (MM/DD/YYYY) (MM/DD/YYYY)

SIN # (123-456-789) (123-456-789)

Relationship to
Co-Applicant:



*Employer:


 
*Occupation:  
*Annual Income:  
Details: Hourly Rate,
Normal hours worked per week, Base Salary, Salary plus commission, self-employed


Down Payment / Equity: $
Cash Finance of Assets Gift RRSP Sale Sweat Other


Referral Source (if any):

By submitting this form I/we hereby authorize The Get'er Done Girls Inspire Mortgage Solutions,  hereinafter referred to as "the Broker", to arrange on my/our behalf the loans described above and certify that the above information which is furnished with the intent that it be relied upon by the Broker to obtain said credit, is true and correct and: i) Agree (if this application is for a loan to be secured by a mortgage) that the evaluation inspection and legal expenses incidental to this application will be paid by me/us and that I am not in arrears on my present mortgage; ii) the above information includes all my/our debts and that we have no current unsatisfied judgments and that I/we have not declared bankruptcy in the last six years and that all my/our outstanding credits are current and in good standing; iii) I/we also acknowledge that the Broker may also be receiving a fee in respect to the arranging of this loan and I/we hereby waive any right to deny or dispute the Broker from receiving said fee; iv) n connection with my application for credit, I/we hereby take notice that you may be procuring and may be referring to a consumer report respecting me/us containing personal information and I/we hereby consent thereto and to the disclosure of such information to other credit grantors or consumer reporting agency and to retain this application for the Brokers records.

   

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