Loan Application Form (#47)

Mortgage Loan Application

Personal Information

First Name

Last Name

Phone number of Applicant

Date of Birth of Applicant

E-mail of Applicant

SIN

Have you ever filed for bankruptcy?

Yes

Is the bankruptcy discharged?

Yes

When were you discharged?

Do you pay or owe spousal or child support from a previous marriage?

Yes

Support Details

Description	Amount	End Date

Employment (please provide 5 year history)

Employer	Occupation	Annual Income	Years Employed	Income Type

Address (Please provide 3 year history)

Street Address	City	Province	Years Resided

Mortgage Loan Application

Secondary Applicant

First Name

Last Name

Phone number of Applicant

Date of Birth of Applicant

E-mail of Applicant

SIN

Have you ever filed for bankruptcy?

Yes

Is the bankruptcy discharged?

Yes

When were you discharged?

Do you pay or owe spousal or child support from a previous marriage?

Yes

Support Details (add all that apply)

Description	Amount	End Date

Employment (please provide 5 year history)

Employer	Occupation	Annual Income	Tenure	Income Type

Address (Leave blank if same as above)

Street Address	City	Tenure

Assets / Liabilities

Assets

Some description about this section

Bank/Investment Accounts

Description	Balance

Properties Owned

Address	Value

Vehicles

Make/Model	Value

Liabilities

Some description about this section

Credit Cards/Loans

Description	Approx. Balance	Payment

Mortgages

Address	Approx. Balance	Payment

Vehicle Loans

Make/Model	Approx. Balance	Payment

The information provided in this application shall not be shared to anyone else and is kept confidential

I agree that the information herein are true and correct

Magnum Mortgage has been lending to great Alberta borrowers for 18 years and is fully committed to supporting Albertans through all the ups and downs of their financing needs.

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