Mortgage Application
DATE : MODEL NO : CLOSING DATE : PRICE : $ LOT NO : PHASE : STREET NAME :    TITLE : LAST NAME : FIRST NAME : MIDDLE NAME : ADDRESS : SINCE :    OWN : RENT :              $   /mo SIN NUMBER : HOME TEL NO :   CELL TELL NO :  EMAIL :           PREVIOUS ADDRESS IF CURRENT LESS THEN 2 YEARS : SEX : MARITAL STATUS : NO OF DEPENDANTS : DATE OF BIRTH: MM/DD/YYYY   PREVIOUS ROYAL BANK LOANS?   ANY KNOWN CREDIT PROBLEMS   OR BANKRUPCY? SPOUSAL OR CO-APPLICANT INFORMATION (below)     CHECK IF SAME ADDRESS      CHECK IF CO-APPLICANT IS NOT SPOUSE TITLE : LAST NAME : FIRST NAME : MIDDLE NAME : ADDRESS OF CO-APPLICANT(IF DIFFERENT): SINCE :    OWN : RENT :              $   /mo SIN NUMBER : HOME TEL NO : CELL TELL NO :   EMAIL :           PREVIOUS ADDRESS IF CURRENT LESS THEN 2 YEARS : SEX : MARITAL STATUS : NO OF DEPENDANTS : DATE OF BIRTH: MM/DD/YYYY LAWYER INFO:   EMPLOYMENT INFORMATION: APPLICANT : COMPANY NAME : EMPLOYED SINCE :  SALARY- ANY BONUS?  HOURLY RATE-PER / HR?  CONTRACTED - HOW LONG? ADDRESS : WORK TELEPHONE NO. : OTHER INCOME Pension, Part Time Job  If Part time - How long? POSITION :   GROSS ANNUAL INCOME :   $ OVERTIME INCLUDED? PREVIOUS EMPLOYER IF CURRENT LESS THEN 2 YEARS : SPOUSE'S or CO-APPLICANT’S EMPLOYMENT COMPANY NAME : EMPLOYED SINCE :  SALARY- ANY BONUS?  HOURLY RATE-PER / HR?  CONTRACTED - HOW LONG? ADDRESS : WORK TELEPHONE NO. : OTHER INCOME Pension, Part Time Job  If Part time - How long? POSITION :   GROSS ANNUAL INCOME :   $ OVERTIME INCLUDED? PREVIOUS EMPLOYER IF CURRENT LESS THEN 2 YEARS : SUMMARY OF ASSETS AND LIABILITIES (please indicate separate assets by owner name) TYPE DESCRIPTION ASSET VALUE MONTHLY INCOME LIABILITY AMOUNT MONTHLY PAYMENT TOTALS Mortgage required : $ Down payment : $ Term : Yrs : Rate : Collection and use of information: I/We hereby certify that the information given in my/our mortgage application is complete and correct and is given for the purpose of obtaining the mortgage loan and/or financial services applied for. I/We hereby authorize the receipt and exchange of information about me/us with your affiliates from time to time as you deem appropriate and to the sharing or exchange of reports and information with the credit reporting agencies, credit bureaus, mortgage insurers, and/or any other person, corporation, firm or enterprise with whom I/We have or propose to have a financial relationship. Applicant : Co-Applicant :