Your New Mortgage is For...
Pre-Approval     Purchase     Consolidate Debt     Refinance Existing     Other
When do you think you will need the mortgage? Immediately 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months A Year or More
What is your top priority?	Low Rates     Flexible Payments     Cash Back     Pay Mortgage Off Quickly     Maximize Mortgage
Financial Institution
Which financial institution do you currently deal with?
Applicant Personal Information
First Name:			Last Name:
Date of Birth (DOB):	(mm/dd/yyyy)		S.I.N.:	(###-###-###)
Marital Status:	Choose Single Spouse Co-purch Common-Law Divorced Windowed		Dependents:	Choose None One Two Three Four Five Six Seven Eight Nine Ten More than Ten
Co-Applicant Personal Information
First Name:			Last Name:
Date of Birth (DOB):	(mm/dd/yyyy)		S.I.N.:	(###-###-###)
Marital Status:	Choose Single Spouse Co-purch Common-Law Divorced Windowed		Dependents:	Choose None One Two Three Four Five Six Seven Eight Nine Ten More than Ten
Contact Information
Home Phone:			Work Phone:
Fax:			E-mail:
How do you prefer to be contacted? Choose Home Phone Work Phone By Fax By E-Mail
Where Have You Lived? (3 Year History)
Present Address
Address:			City:
Province:			Postal Code:
Years Lived:			Tenure	Choose Own Rent
Previous Address
Address:			City:
Province:			Postal Code:
Years Lived:			Tenure	Choose Own Rent
Prior to that
Address:			City:
Province:			Postal Code:
Years Lived:			Tenure	Choose Own Rent
Tell Us About Your Work (3 Year History)
Employment History 1
Employer:			Position:
City:			Province:
How Long:			Annual Income
Employment History 2
Employer:			Position:
City:			Province:
How Long:			Annual Income:
Employment History 3
Employer:			Position:
City:			Province:
How Long:			Annual Income:
What is Your Net Worth?
What is the Annual Gross Income for You and your Co-Applicant?
What Do You Currently Own
Saving:			Checking:
Stock/Bonds/Deposits:			R.R.S.P.'s
Vehicle Type 1:			Vehicle Value 1:
Vehicle Type 2:			Vehicle Value 2:
Life Insurance:			Other Asset:
What Do You Currently Owe
# Description   Balance   Payment   1. Choose None Visa MasterCard American Express Dept. Store Other       2. Choose None Visa MasterCard American Express Dept. Store Other       3. Choose None Visa MasterCard American Express Dept. Store Other       4. Choose None Visa MasterCard American Express Dept. Store Other       5. Choose None Visa MasterCard American Express Dept. Store Other         # Loans & Leases   Balance   Payment   1.       2.       3.       4.
Your Present Home & Mortgage
Landlord:   Monthly Rent: or Mortgage Holder:   Monthly Payment: Mortgage Broker:   Home Value: Terms: (years):   Matures:
Taxes:   Condo Fees:   Utilities:
Your (New) Property Details
Use   Type   Ownership     Choose Primary Residence Revenue Property Recreational   Choose Raw Land Condominium TownHome Single Detached Duplex Triplex Multiplex Mobile   Choose Freehold-Free Simple Leashold Co-operative Other     Price:   Down Payment:   Down Payment Source:         Choose Home Sale Savings Gift Asset Sale
Closing Date:   Monthly Taxes: Monthly Condo Fees:   Monthly Utilities:
Do You Have any Further Comments ?
I /We hereby consent to Dream Mortgages obtaining such credit reports and other information as Dream Mortgages 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. I /We also consent to receive periodic mortgage account information.
I/We have read the above Authorization Statement