Prefix: *
Mr. Mrs. Ms.

Your Name: *


Tel: *


email address: *


Marital Status:
Single Married Widowed Separated Divorced Common Law

Dwelling Status:
Rent/ Lease Own Living with Parents

Income Type:
Salary Self - Employed Pensioner Alimony Commission Contract

Amount:


Employment:

Employer:


Position:


NO.Yrs:


Address:


Phone No:


Basic Income:


Annual Income:


Purpose of Loan:
Pre-Approval Home Purchase Transfer of Mortgage Refinance/Equity Take

Sale Price:


Down Payment:


Mortgage Amount:


Date Funds Required:


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Assets:

Bank Account 1:


Bank Account 2:


Investment:


RRSP:


Automobile 1:


Automobile 2:


Total Amount of Assets:


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Liabilities:

1st Mortgage:------Amount------Payment-------Balance


2st Mortgage:------Amount------Payment-------Balance


Loan:---------------Amount------Payment-------Balance


Line of Credit 1:----Amount------Payment-------Limit


Line of Credit 2:----Amount------Payment-------Limit


Line of Credit 3:----Amount------Payment-------Limit


Net Worth:----------Amount


Have You Ever Declared Bankruptcy?
Y N

Do You Presently Have Any Outstanding Writs?
Y N

Are You A Guarantor for Any Other Person? Judgments or Liens Registered Against You?
Y N

Message:


I/We confirm that the information given in this application form is true and correct along with any supporting documents/papers provided by the applicants that supports the information above. IFG Center is authorized to obtain any information they might require relative to the application from any institution and hereby authorized to provide IFG Center with such information. IFG Center is authorized to pull my/our credit/bureau at any lending institution on my/our behalf.