Purpose of Loan

Type of Property

Mortgage Amount (if known)

Down Payment Available

Purchased Price or Assessed Value

Current Lender (if applicable)

Fixed Rate or Variable Rate:

Mortgage Term

Last Name (required)

First Name (required)

Date of Birth (mm/dd/yyyy)

S.I.N.

Address

City

Province

Postal Code

Residence Phone (required)

Business Phone

Email (required)

Applicant 2

Last Name

First Name

Date of Birth (mm/dd/yyyy)

S.I.N.

Address

City

Province

Postal Code

Residence Phone

Business Phone

Email

Employment Information

Applicant 1

Employer Name

Position

Employer Telephone

Gross Annual Income

Years at Employer

Applicant 2

Employer Name

Position

Employer Telephone

Gross Annual Income

Years at Employer

Assets

($)

Savings Account Balance

Chequing Account Balance

RRSP Balances

Stocks/Bonds

Vehicle(s) Value

Residence

Other Real Estate

Other

Description

Liabilities

Company

Current Balance

Monthly Payments

Loans

Credit Cards

Mortgages

Comments

I would prefer to be contacted by:e-mail telephone no preference

I, (First Name), (Last Name) understand approval is subject to satisfactory home appraisal, verification of employment and credit report. I realize that Enderby Credit Union will base mortgage pre-approval on the information I have supplied on this form, so I verify that it is complete and correct. I consent to Enderby Credit Union obtaining credit information about me at any time.

To indicate your acceptance of the terms explained above, please click APPLY.

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