Loan or Mortgage Application
    January 26, 2022 | 12:32:53   

* Denotes fields that must be filled
* Loan Information
  
This is an application for a loan in the name of:
Spouses name if joint application:
Reason for loan:
Amount Required: Payment Amount:
Repayment Period (Months): Repayment Frequency:

*Personal Information
First Name: Last Name:
Address: Home Phone #:
City: Other Phone #:
Province: E-mail:
Postal Code: Social Insurance #
Marital Status: Date of Birth:
How long have you been living at your current Residence ?
Type of residence:
Number and Ages of Dependents: (excluding spouse or co-applicant):
Have you or your co-applicant ever claimed bankruptcy?
 NO Yes

Previous Address: (if current address is less than 2 years)
Address:    
City:    
Province:    
Postal Code:    

*Employment
Employer: How Long (Years):
Occupation: Annual Salary:
Employer's Address: Work Phone/Ext:
City:
   
Province:    
Postal Code:    

Previous Employment: (if worked less than 3 years with current employer)
Employer: How Long (Years):
Occupation: Annual Salary:
Employer's Address Work Phone/Ext:
City:
   
Province:    
Postal Code:    

Spousal Information
Last Name: First Name:
Social Insurance Number: Date of Birth (MM/DD/YY):
Employer: How Long (Years):
Occupation: Annual Salary:
Work Phone/Ext: Other Income:
Employer's Address: Email:
City:    
Province:    
Postal Code:    

*References
Please provide the name and address of two close friends or relatives not living with you:
Reference One:
First Name:
 Last Name
Address: Relationship:
City: Phone:
Province: Postal Code:
Reference Two:
First Name:
 Last Name
Address: Relationship:
City: Phone:
Province: Postal Code:

Assets
Real Estate:
Real Estate One Type:
 Address:
Yr./Purch'd/Price: Est. Value:
Mortgage Renewal Date: Heat/hydro per Year
Property Taxes per Year    
       
Real Estate Two Type:
 Address:
Yr./Purch'd/Price: Est. Value:
Mortgage Renewal Date: Heat/hydro per Year
Property Taxes per Year    
Automobiles:
(If your vehicle is leased, please complete the information under "Other Obligations Leases, etc.")
Do not include here
Year/Make: Year/Make 2:
Model: Model 2:
Value: Value2:
       
Other Assets or Investments:
RRSP's: Other Investments:
Other Assets: Other Income:

Liabilities
Owing To
Date Opened
Total Debt
Monthly Payment
Name of
Financial Instituion
Mortgage 
Mortgage  2
Loans 
Loans  2
Lease Payments 
Rent 
  Type Total Debt Monthly Payment  
Charge Cards 
Charge Cards  2
Charge Cards  3
DECLARATION AND AUTHORITY TO OBTAIN INFORMATION
By selecting "Yes" in the box below, I/we acknowledge that:

The Credit Union may obtain information about me and/or my spouse, from my/our employer, any credit bureau or any other person in connection with any of my/our dealings with the Credit Union and the Credit Union may disclose (automatically or upon request) credit information about me/us to credit bureaus and persons with whom I/we have or propose to have financial dealings, if the Credit Union believes disclosure is required by law.

I/We certify that the information in this application is true and correct and that each asset is shown at its present fair market value and I/we own all such assets. I/We am/are not being sued and there are no judgments or executions against me/us. If any or part if this statement is incorrect or if there is a breach of this agreement, then I/we hereby agree with the Credit Union that all my/our present and future indebtedness to the Credit Union shall become due and payable without notice of demand.

If you agree with the terms outlined above, please click on the "YES" button following and click on the "SUBMIT" bar to submit the application. Otherwise, please select the "NO" button and click on the "CANCEL" line.




If you do not agree with the terms outlined above, please click on the button, following.