Private Mortgages & Loans | Enter Exit Real Estate

Loan Information

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Loan Amount

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Desired length of loan

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Funding date requirement*

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How do you plan to repay the loan?

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Is there a Co-Applicant?*

Relationship to borrower #2?

Applicant Information

First Name*

First Name

Last Name*

Last Name

Birth Date*

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Contact Number

(416) 123 4567

Email*

Email Address

Marital Status*

SIN

Social Insurance Number

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Property Address

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I currently*

Business

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Position

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Annual Income

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Years employed

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Other income

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Assets

Cash

Stocks/Bonds

RRSP's

Deposit on Property

Other

Value of Present Home

Vehicles

Total Assets

Liabilities

Bank Monthly Payment

Bank Outstanding

Loans Monthly Payment

Loans Outstanding

Credit Monthly Payment

Credit Outstanding

Cards Monthly Payment

Cards Outstanding

Mortgage Monthly Payment

Mortgage Outstanding

Total Liabilities Monthly Payment

Total Liabilities Outstanding

Co-Applicant Information

First Name

Last Name

Birth Date

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Contact Number

Email

Marital Status

SIN

Social Insurance Number

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Property Address

Enter your physical address

I currently

Business

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Position

Enter your current position

Annual Income

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Years employed

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Other income

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Date*

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Applicant

Applicant Name

Co-Applicant

Co-Applicant Name

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We hereby consent to such credit investigations as are required. 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. I/We authorize Enter Exit Real Estate Inc. and Dominion Lending Centres GRAND Financial to obtain and/or exchange personal information with any personal information agent towards establishing or verifying my financial standing. You are further more authorized to disclose, in response to direct enquiries from any other lender or credit bureau, such information on my loaning account as you consider appropriate, and I agree to indemnify you against and save you harm from any and all claims in damages or otherwise.

You authorize us to obtain credit report(s) from Equifax, TransUnion, or foreign credit bureau. You warrant and confirm that all information you provide in connection with any mortgage application or other service you provide (the transaction), will be true and correct, and acknowledge that you and any lenders or other persons to whom you submit that information will be relying on it in order to consider our application and/or determine our creditworthiness. You hereby authorize you to obtain any further financial or other information you may require concerning us in connection with a transaction from any sources to which you may apply and each such source is hereby authorized to provide you with such information. You hereby authorize you to disclose to any lender, credit bureau, insurer, insurance agent or other person involved in a transaction such personal and financial information concerning us as you consider appropriate. You hereby release you from all claims in damages or otherwise that we may have in connection with or arising from any use, disclosure, or release of any of our personal information, and that I/we will indemnify you against and save you harmless from any and all claims in damages or otherwise which may be made by any third party in connection with, or arising from any person or other information that we have provided to you. You may retain our application and other personal information whether or not any transaction is ultimately complete.

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Loan Information

Applicant Information

Assets

Liabilities

Co-Applicant Information

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