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Pre-Approval Application

Please fill in and sign the attached application as accurately and completely as possible and fax it to the fax number indicated below. Submitting an application through CENTUM Lifestyle Financial Services is free, and does not bind or obligate you in any way. Any questions or additional information you may have can be addressed personally when your mortgage consultant contacts you with an initial response on your best financing options.

 


To: CENTUM Lifestyle Financial Services

FAX: 705.733.9629

 

 

 



Note: This fax contains confidential and privileged information intended only for the addressee. Reading, copying, disseminating, or distributing this message is strictly prohibited unless you are the addressee. If you have received this fax in error, please fax the sender at the above number and then delete it. Thank you.

We appreciate your assistance in correcting this error.

 

 


CENTUM Lifestyle Financial Services
202 Bayfield Street, Barrie, ON L4M 3B6
Fax: 705.733.9629 • Phone: 888.643.0190
http://www.centum.ca/lifestylefinancialservices

 

CENTUM Lifestyle Financial Services - MORTGAGE APPLICATION

Primary Borrower
Title: Mr.  Mrs.  Ms. 
First Name:

 Last Name:
Initial:
Address:
City/Town:
 Prov:
Postal Code:
Date of Birth:
 SIN#:
Home Ph.#:
 Work Ph.#:
Time spend at this address: Yrs. Mos.
Marital Status:
Single  Married  Widowed 
Separated  Divorced  Common Law
Number of Dependents:
Dwelling Status
Residential Status:
Rent/Lease    Monthly Rent:
Own   Living with parents      
Employment
Current Employer:

Job Description
Annual income:
 Length of Employment: 
Income Type
Salary Self-Employed Pensioner
Alimony Commission Contract
Other Income Source:
 Additional income:
Previous Employment
Previous Employer:

Job Description
Annual income:
 Length of Employment: 

Co-Borrower
Title: Mr.  Mrs.  Ms. 
First Name:

 Last Name:
Initial:
Address:
City/Town:
 Prov:
Postal Code:
Date of Birth:
 SIN#:
Home Ph.#:
 Work Ph.#:
Time spend at this address: Yrs. Mos.
Marital Status:
Single  Married  Widowed 
Separated  Divorced  Common Law
Number of Dependents:
Dwelling Status
Residential Status:
Rent/Lease    Monthly Rent:
Own   Living with parents      
Employment
Current Employer:

Job Description
Annual income:
 Length of Employment: 
Income Type
Salary Self-Employed Pensioner
Alimony Commission Contract
Other Income Source:
 Additional income:
Previous Employment
Previous Employer:

Job Description
Annual income:
 Length of Employment: 
 
Copyright 2002 Centum Financial Group Inc.
Purpose of Loan
Pre-Approval
Home Purchase
Transfer of Mortgage
Refinance/Equity Take - if yes, for what reason
Sales price:
 Down Payment:
 Mortgage Amount:
 Date funds required:
 
Property Details
Address:
 		City/Town:
 Province:
Postal Code:
 
Legal Description:
 MLS Number:
Property type:
Detached  Apartment  Duplex  Rowhouse
Other:
Property Title:
Freehold  Leasehold  Condominium/Strata    Maintenance Fee: /mo.
Lot Size:
 Age of Building:
 Square Footage:
 Property Taxes:
 
General information:
  Yes No
Are there any suits or judgements against you or pending against you?
Have you ever gone through bankruptcy
Are any of your assets pledged or in any other manner unavailable for payment of your debts?
Are any of your assets presently involved in a marriage or separation agreement?
Are you the endorser or guarantor of anyone else’s debt?
Are you the endorser or guarantor of any leases or contracts?
 
Comments:
 

 

 

 

Copyright 2002 Centum Financial Group Inc.


Assets
Type:

Financial Institution(s)

 		Amount
Cash savings $
Deposit on property being purchased   $
Automobile: present value $
Value of present home (if owned)   $
Stocks, bonds, Mutual funds etc. $
RRSP's $
Other $
Total
$
Liabilities
Type Financial Institution(s) Balance Owing Monthly Payment
Debts / Loans $ $
Credit Cards $ $
Owing on automobile $ $
Amount owing on current mortgage 1 $ $
Amount owing on current mortgage 2 $ $
Mortgage Numbers of Current Mortgages  
  		 
 
Finance company loans and other debts $ $
Alimony/ Child Support
 
  		$
Total
  		$ $
Net Worth (Total Assets - Total Liabilities) = $

 
The above information is submitted to enable CENTUM Lifestyle Financial Services to consider a mortgage loan, and is to the best of my/our knowledge and belief a true statement of my/our personal information. In submitting this information, I /We hereby consent to CENTUM Lifestyle Financial Services obtaining such credit reports and other information as CENTUM Lifestyle Financial Services may deem necessary at any time in connection with this application for a mortgage loan. I/We hereby consent to the disclosure of my/our personal and credit information to any credit reporting agency, financial institution, legal firm, title insurance company, mortgage insurance company as well as Centum Financial Group Inc and Filogix Inc or any other corporation directly involved in the mortgage process. I/We also consent to receive periodic mortgage account information as well as mortgage and real estate related direct marketing material.

Your privacy is important. We committed to respecting and protecting your privacy and security. We have implemented measures to protect the privacy & security of your personal information through strict policies and practices in compliance with applicable Federal and Provincial privacy legislation. Please contact us to discuss our privacy & security policies and practices.  

Signature      
Borrower:
Date:
 Co-Borrower:
 Date:

Copyright 2002 Centum Financial Group Inc.