Mortgage Application
Marty Pospischil
Dexter Associates Realty
2094 West 43rd Ave.
Vancouver, B.C.
V6M 2C9
Please print this form out, complete it, and fax it to (604) 263-6699.
You may also choose to mail it to the above address.
| Name of Applicant (first name, family name) | Marital Status | Birth Date (mm/dd/year) | SIN # / SSN | ||
| Full Present Address (#, street, city) | postal code | How Long | Home Phone Number (plus area code) | ||
| Previous Address (if current address less than 3 years) | How Long | # of Dependents | Rent | ||
| $ | |||||
| Applicant's Employer | Position | How Long | Work # ( plus area code) | Income | |
| $ | |||||
| Other Sources of Income (Pension, Part-time job, Investments, etc.) | C($) | ||||
| Name of Co-Applicant (first name, family name) | Marital Status | Birth Date (mm/dd/year) | Social Insurance # | ||
| Full Present Address (#, street, city) | postal code | How Long | Home Phone Number ( plus area code) | ||
| Co-Applicant's Employer | Position | How Long | Work # (plus area code) | Income (C$) | |
| $ | |||||
| Previous Employer | Position | How Long | Previous Employer | Position | How Long |
| Other Sources of Income (Pension, Part-time job, Investments, etc.) | C ($) | ||||
| $ | |||||
| Assets | Value (C$) | Liabilities | Value (C$) |
| Cash, Deposits, G.I.C. | $ | Credit Cards | $ |
| RRSP | $ | Credit Cards | $ |
| Cash, Deposits, G.I.C. | $ | Credit Cards | $ |
| Stock and Bonds | $ | Line of Credit | $ |
| Vehicle | $ | Car Loan | $ |
| Residence (if owned) | $ | Mortgage (residence) | $ |
| *Other Real Estate (see schedule A: total value ) | $ | **Rental Property (totals-see schedule A) | $ |
| Other Assets | $ | Other Debts | $ |
| $ | $ | ||
| $ | $ | ||
| Total Assets | Total Debts |
| Purchase Price: | Address of Property: |
| Down Payment: | Taxes: |
| Mortgage Amount: | Condo Fees: |
| Interest Term: | Rental Income: |
| Amortization period: | |
| Source of Down Payment: | Payment Frequency: |
| Lawyer Info: | Real Estate Agent: |
| Main Financial Institution (Personal Account Location) | Location | Other Financial Institution | Location | ||
| Loans (institution name) | Location | Limit | Balance | Monthly Payment | |
| $ | $ | $ | |||
| $ | $ | $ | |||
| $ | $ | $ | |||
| Property Address: | Mortgage Amount: |
| Lender: | Rate: |
| Mortgage Type (1st/2nd): | Maturity Date: |
| Property Value: | Monthly Payment: |
| Purchase Date: | Monthly Rental Income: |
| Purchase Date: | Monthly Rental Income: |
| Property Address: | Mortgage Amount: |
| Lender: | Rate: |
| Mortgage Type (1st/2nd): | Maturity Date: |
| Property Value: | Monthly Payment: |
| Purchase Date: | Monthly Rental Income: |
| Property Address: | Mortgage Amount: |
| Lender: | Rate: |
| Mortgage Type (1st/2nd): | Maturity Date: |
| Property Value: | Monthly Payment: |
| Purchase Date: | Monthly Rental Income: |
*Total Value of all Rental Properties Record both totals above in Net Worth Statement | **Total Mortgages-Rental Properties |
| Applicant: | Date: |
| Email: | |
| Co-Applicant: | Date: |
Source: Marty Pospischil's web site - http://www.martyhomes.com