Western Canada Mortgage Online Mortgage Application

1. Personal Information

First Name
MI
Last Name
D.O.B.
S.I.N.
Marital Status
Dependents
Current Address
City
Prov.
Postal code
Years There
Previous Address (if less than 3 years ago)
City
Prov.

Postal code
Years There
E-mail Address
Home Phone
Residential Status
Current Occupation
Current Employer
Work Phone
  Ext.
Gross Yearly Income
$
Years There
Current Employer Address
Type of Income
Previous Occupation (if less than 3 years ago)
Previous Employer
Gross Yearly Income
$
Years There

2. Co-Applicant Information (Complete this section if you are married or have a co-applicant.)

First Name
MI
Last Name
D.O.B.
S.I.N.
Relation to Co-Applicant
Current Occupation
Current Employer
Work Phone
  Ext.
Gross Yearly Income
$ 
Years There
Current Employer Address
Type of Income
Previous Occupation (if less than 3 years ago)
Previous Employer
Gross Yearly Income
$ 
Years There

3. Details of Mortgage Loan

I am applying for a mortgage. How much of a loan do you need? $ 
Monthly property taxes? $  Current value of your home? $ 
Date purchased? (Approx.)   Original purchase price? (Approx.) $ 

4. Details of First Mortgage

Mortgage Lender (held by)
Mortgage Number

$  
Balance
Rate %

$   
Mthy Paymnt
Maturity Date
Property Address 

5. Details of Second Mortgage

Mortgage

Mortgage Lender
Mortgage Number

$  
Balance
Rate %

$   
Mthy Paymnt
Maturity Date
Property Address 

6. Liabilities
Enter total outstanding
balances:
Credit Cards $   Loans/Lines of Credit $  
Enter total monthly
payments:
Car Payments $  Alimony/Support/Other $  

7. Assets

Vehicle 1 (Year, Make, Model) RRSPs $  
Vehicle 2 (Year, Make, Model) Stocks/Bonds $ 
Name of your bank(s) Cash/Savings $  

8. Property Information Required By WCM

Dwelling Type Property Age Tenure
Dwelling Style Square Footage Garage Size
Heating Type Lot Size Garage Type

9. Comments (Please provide any additional information which could help us to approve your loan.)

By submitting this online application, we hereby authorize you to obtain a credit report and make any necessary inquiries regarding our mortgage application and to release this information to any lenders who may be interested in providing funds on your behalf.