Download an application form

Tel: 416-238-2698
Toll Free: 1-877-479-9998
Fax: 1-877-479-9968 (Toll Free)
[email protected]
Valueland Mortgages
7800 Woodbine Ave., Suite 202
Markham, ON. L3R 2N7
http://www.valueland.ca/
Applicant
Personal Information
Co-Applicant
Salutation (Mr./Ms/Miss):
First Name
Family Name
S.I.N. #
Date of Birth
Marital Status
Home Address
City and Postal Code
Ownership Status (pick one)
Owned
Rented
($
/mth)
Live with Parents
Other
How long at this address?
Home Phone
Cell Phone
Previous Home Address
Email
Employer (Company)
Position (Job Title)
Annual Income
Employer Address
City & Postal Code
Work Phone
Years with this company
Previous Employer (If current
employment is less than 3 years)
Previous Position & Annual
Salary
Years with this company
Number of Dependants
Referrer/Agent:
Financial Information:
Money You
Have
Cash in Bank ($)
RRSP
($)
Value - Property
1 ($)
Value - Property
2 ($)
Car
($)
Other
($)
Financial
Institution
Amount
$
Money You Owe:
Bank Loans
($)
Credit Cards
($)
Mortgage 1
($)
Mortgage 2
($)
Loans
($)
Other
($)
Monthly
Payment
Condo
Fee
Property Tax
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Current Mortgage Information:
Current Home Value
Current Mortgage Amt ($)
Current Monthly Payment
Original Purchase Price
Mortgage Maturity Date:
Date of Purchase
Original Amortization (yrs)
Original Mortgage Term
Original Mortgage Amt ($)
Current Mortgage Bank
New Mortgage: Variable Rate or Fixed Rate? [
Amt ($)
Rate
Term (YR)
]
Closing Date
Amort. (Yrs)
Pmt Frequency
Property Information for the Mortgaged Property:
Address
Age
Type
Garage
Unit #
City
# of Storey
Lot Size
Detached?
Single?
Semi?
Double?
This property is or is going to be (choose one only):
Town house?
Condo Fee (month)
A: Primary
Residence
B: Rental
Property
Postal Code
Living Area (sf)
Condo?
Property Tax
Amount /year
C: Second Home or For
Parent’s Use
Disclosure Statements from Valueland Mortgages:
(1) Valueland’s relationship with me/us the Applicants: Valueland Mortgages or its broker/agent/associates/sub-broker is acting
as an intermediary between the applicant(s) and the lender(s) who have authorized Valueland to offer their mortgage products
to borrowers. Valueland offers many mortgage products from multiple lenders.
(2) Broker/Brokerage Compensation: Valueland Mortgages is primarily compensated by way of commission/income or fee paid
by mortgage lenders. The brokerage may also receive other non-monetary benefits from lenders. In cases of a fee to be paid by
the borrower/applicant(s), a fee disclosure shall be given to me/us prior to my/our commitment of the mortgage.
Consent from Applicant(s):
I/we warrant and confirm that the information given in the mortgage application form is true and correct and I/we understand that
it is being used to determine my/our credit responsibility and to evaluate and respond to my/our request for mortgage financing.
You, Valueland, are authorized to obtain any information you may require for these purposes from other sources (including, for
example, credit bureaux) and each source is hereby authorized to provide you with such information. I/we also understand,
acknowledge and agree that the information given in the mortgage application form as well as other information you obtain in
relation to my credit history may be disclosed to potential mortgage lenders, mortgage insurers, other service providers,
organizations providing technological or other support services required in relation to this application and any other parties with
whom I/we propose to have a financial relationship. I/we acknowledge that I/we have reviewed and understand Valueland’s
disclosure statements.
I/we further acknowledge and agree that each potential mortgage lender, mortgage insurer or service provider to
whom you provide the mortgage application and/or my/our personal information is permitted to receive such
application and information and maintain records in relation to me/us and my/our mortgage application and to hold,
use, communicate and disclose personal information about me/us, including my/our social insurance number (SIN) if
I/we provide it, and collect personal information from me/us, you and from third persons, including credit bureaux,
credit reporting and collection agencies, financial institutions, my/our past and present employers, creditors and
landlords, my/our spouse or any other person who has information about me/us for the purposes of recording,
evaluating and responding to my/our application for mortgage financing or related activities and I/we specifically
consent to the release and disclosure of personal information by such persons to and among you and each potential
mortgage lender, mortgage insurer or other service provider. I/we authorize the application through electronic
transmission.
Applicant Signature: _______________ Co-Applicant Signature: _______________ Date: _____________
Documents Required: (1) Current Mortgage Statement; (2) One recent pay stub and a letter of employment for each
applicant; (3) Property Tax Bill; (4) Copy of Photo ID (e.g., Driver’s License).
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