Online Application Applicant First Name * Middle Initial Last Name * Number of Dependants (under 21) * Home Phone * Mobile Phone E-mail Address * First Time Buyer? * ---YesNoBirthdate Day * ---12345678910111213141516171819202122232425262728293031Month * ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear * SIN# * DL# Marital Status SingleMarriedCommon LawCurrent Primary Address Address * Unit City * Province * Postal Code * Living Situation * ---OwnRentWith ParentsMonthly Payment ($) Year(s) / Month(s) Previous Address Address * Unit City * Province * Postal Code * Living Situation * ---OwnRentWith ParentsMonthly Payment ($) Year(s) / Month(s) Employment Information Employer * Work Phone * Address * City * Province * Postal Code * Occupation * Type of Employment * ---Full TimePart TimeContractType of Pay * ---HourlySalaryCommissionBase + CommissionGuaranteed Hours Per Week * Annual Income * Year(s) / Month(s) Previous Employment Employer * Work Phone * Address* City * Province * Postal Code * Occupation * Type of Employment * ---Full TimePart TimeContractType of Pay * ---HourlySalaryCommissionBase + CommissionGuaranteed Hours Per Week * Annual Income * Year(s) / Month(s) Other Annual Income (Including Rental Income) Type ---InvestmentChild SupportPensionAlimonyOtherAnnual Amount ($) How long have you received? Year(s) / Month(s) Type ---InvestmentChild SupportPensionAlimonyOtherAnnual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Assets - Accumulated Bank Account Stocks, Bonds, and Mutual Funds TFSAs RRSPs GICs Other Liabilities Type ---Credit CardLoanLine of Credit Balance Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Automobile(s) Years/Make/Model Current Value ($) Monthly Payment ($) Years/Make/Model Current Value ($) Monthly Payment ($) Years/Make/Model Current Value ($) Monthly Payment ($) Real Estate Primary Res. Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Secondary/Rental Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Have you declared Bankruptcy in the past or filed a consumer proposal? If yes, please provide the date filed and confirmation if item is/is not discharged: Co-Borrower Information (If Applicable) First Name Middle Initial Last Name Number of Dependants (under 21) Home Phone Mobile Phone E-mail Address First Time Buyer? ---YesNoBirthdate Day ---12345678910111213141516171819202122232425262728293031Month ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear SIN# DL# Marital Status SingleMarriedCommon LawCurrent Primary Address Address Unit City Province Postal Code Living Situation ---OwnRentWith ParentsMonthly Payment ($) Year(s) / Month(s) Previous Address if above is less than 3 years Address Unit City Province Postal Code Living Situation ---OwnRentWith ParentsMonthly Payment ($) Year(s) / Month(s) Employment Information Employer Work Phone Address City Province Postal Code Occupation Type of Employment ---Full TimePart TimeContractType of Pay ---HourlySalaryCommissionBase + CommissionGuaranteed Hours Per Week Annual Income Year(s) / Month(s) Previous Employment if less than 3 years above Employer Work Phone Address City Province Postal Code Occupation Type of Employment ---Full TimePart TimeContractType of Pay ---HourlySalaryCommissionBase + CommissionGuaranteed Hours Per Week Annual Income Year(s) / Month(s) Other Annual Income (Including Rental Income) Type ---InvestmentChild SupportPensionAlimonyOtherAnnual Amount ($) How long have you received? Year(s) / Month(s) Type ---InvestmentChild SupportPensionAlimonyOtherAnnual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Add More Type ---InvestmentChild SupportPensionAlimonyOther Annual Amount ($) How long have you received? Year(s) / Month(s) Assets - Accumulated Bank Account Stocks, Bonds, and Mutual Funds TFSAs RRSPs GICs Other Liabilities Type ---Credit CardLoanLine of Credit Balance Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Add More Type ---Credit CardLoanLine of Credit Balance Automobile(s) Years/Make/Model Current Value ($) Monthly Payment ($) Years/Make/Model Current Value ($) Monthly Payment ($) Years/Make/Model Current Value ($) Monthly Payment ($) Real Estate Primary Res. Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Secondary/Rental Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Add More Other Property Value ($) Mortgage Balance ($) Monthly Payment ($) Home Equity Line of Credit Balance ($) Property Taxes Financial Institution held with Maturity Date (Day/Month/Year) Breakage Penalty Amount Monthly Rental Income Have you declared Bankruptcy in the past or filed a consumer proposal? If yes, please provide the date filed and confirmation if item is/is not discharged: Please tell us more about your Goals, Timeline, and any other Notes: By submitting this loan application form, you are giving Mortgage Tailors authorization to run a credit check on your financial history. All submitted data will remain entirely confidential.
