Application Form Step 1 of 616%Where did you hear of us? Google Yahoo MSN Yellow.ca Newspaper Yellow Pages Referral Personal Information Are you currently a homeowner? Yes NoAre you currently employed? Yes NoAre you applying for: Purchasing Refinancing Switching mortgage lendersName First Middle Initial Last Date of Birth MM slash DD slash YYYY Social Insurance Number (SIN)Marital StatusNumber of dependantsAddress Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Number of years therePrevious Address (if less than 3 years ago) Street Address Address Line 2 City State / Province ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Number of years thereEmail PhoneResidential Status Own Rent Live with parents Employment Information Type of Income Salary Hourly Commission Self-Employed Pensioner Alimony Current EmployerCurrent OccupationWork PhoneCurrent Employer's AddressGross Yearly IncomeNumber of years therePrevious Employer (if less than 3 years ago)Gross Yearly IncomeNumber of years there Co-Applicant Information(Complete this if you are married or have a co-applicant.)Name First Middle Initial Last Date of Birth MM slash DD slash YYYY Social Insurance Number (S.I.N)Relation to Co-ApplicantType of Income Salary Hourly Commission Self-Employed Pensioner Alimony Current EmployerCurrent OccupationWork PhoneCurrent Employer's AddressGross Yearly IncomeNumber of years therePrevious Employer (if less than 3 years ago)Gross Yearly IncomeNumber of years there Existing First Mortgage Details First mortgage held byMortgage NumberProperty AddressMortgage BalanceMortgage Type N/A First Mortgage Maturity DateExisting Mortgage RatePercentage of Monthly PaymentsMonthly property taxesYear purchasedResale value of propertyIf refinancing, what is your total request for the loan? Other Mortgage Details(for a second property or second mortgage)Other mortgage held byMortgage NumberProperty AddressMortgage BalanceMortgage Type N/A First Mortgage Maturity DateExisting Mortgage RateMortgage is what percentage of your monthly payments?Do you have a third mortgage on your property as well? Yes No Details of New Mortgage Loan Purchase price of the propertyMonthly property taxesHow much of the down payment do you have?When is the closing date?Where is the down payment coming from? Accumulated savings Inheritance Gift from family RRSPs Stocks/bonds/mutual funds Desired termPlease enter the desired term in yearsAmortization 5 yr 7 yr 10 yr 15 yr 20 yr 25 yr Liabilities Enter total outstanding balancesCredit cardsLoans/Lines of credit Enter total monthly paymentsCar PaymentsAlimony/Support/Other Assets Vehicle 1 (year, make, model)Vehicle 2 (year, make, model)RRSPsStocks/BondsCash/SavingsName of your bank(s) Property Information (required if purchasing, refinancing or switching) Dwelling Type Detached Semi-Detached Townhouse Duplex Triplex Highrise CondominiumDwelling Style One-Storey Two-Storey Three-Storey Bi-Level Split-Level Storey-and-a-HalfGarage Yes NoGarage Size Single Double TripleGarage Type Attached DetachedSquare FootageLot SizeTotal BedroomsNumber of bathrooms 1 1.5 2 2.5 3+Property AgeTenure Freehold CondoHow much are the condominium fees?Do the fees include heating? Yes NoHeating Type Other Important Information Have you declared bankruptcy? Yes NoWhen was your bankruptcy discharged?Do you have any unpaid judgments or collections? Yes NoHave you applied for a mortgage loan elsewhere in the past 90 days? Yes NoHow many months are you behind on your loans or credit cards? Not behind on any payments 1 month 2 months 3 months 4 months or moreHow many months are you behind on your existing mortgage? Not behind on any payments 1 month 2 months 3 months 4 months or moreWhen is the best time to reach you?Please provide any additional information which could help us to approve your loanBy sending this application, I hereby authorize Genesis Associates Ltd. to obtain a credit report and make any necessary inquiries regarding our mortgage financing application and to release the required/requested information to any lenders of either institutional or private funds who may be interested in providing mortgage financing on our behalf.PhoneThis field is for validation purposes and should be left unchanged.