Mortgage Application - Hometrust website

Agent

How did you hear about Home Trust

What is the mortgage amount you are looking for?* $

What is the purpose of your mortgage request?*

Personal Information

Tell us about yourself

First Name*

Middle Initial

Last Name*

Marital Status

Number of Dependents

Where do you live?

Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Number of years here?*

How can we get in touch?

Home Phone*

Mobile Phone

Email*

Help us identify you better

Date of Birth*

Mother's Maiden Name*

Social insurance number

Employment

Employer Name*

Are you self-employed?*

Yes No

Employment Status*

Occupation

Occupation Type*

Is your employment address same as your living address?*

Yes No

Employer Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Business Phone*

Annual Income (before tax)* $

Other Income (Annual) $

Source of other income

Please specify the number of years*

Previous Employer

Employer Name*

Employment Status*

Occupation

Occupation Type*

Employer Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Business Phone*

Add Co-applicant or Guarantor

Do you want to add co-applicant*

Yes No

Do you want to add guarantor*

Yes No

Co-applicant Personal Information

First Name*

Middle Initial

Last Name*

Martial Status

Relationship to Primary Applicant

Does the co-applicant live at the same address?*

Yes No

Co-applicant Living Address

Address

Address Line 1

Address Line 2

City

Province

Postal Code

Number of years here?*

Co-applicant Contact information

Home Phone*

Mobile Phone

Identify Co-applicant

Date of Birth*

Social insurance number

Co-applicant Employment

Are you currently employed*

Yes No

Current employer name*

Are you self-employed?*

Yes No

Employment status*

Occupation

Occupation Type*

Is your employment address same as your living address?*

Yes No

Employer address*

Address Line 1

Address Line 2

City

Province

Postal Code

Business Phone*

Annual Income (before tax)* $

Please specify the number of years*

Co-applicant's Previous Employer

Employer Name*

Employment Status*

Occupation

Occupation Type*

Employer Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Business Phone*

Guarantor Personal Information

First Name*

Middle Initial

Last Name*

Martial Status

Number of Dependents

Relationship to Primary Applicant*

Guarantor Living Addres

Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Number of years here?*

Guarantor Contact Information

Home Phone*

Mobile phone

Guarantor Identify

Date of Birth*

Social insurance number

Are you currently employed

Yes No

Guarantor Employment

Employer Name*

Are you self-employed?*

Yes No

Employment Status*

Occupation

Occupation Type*

Is your employment address same as your living address?*

Yes No

Employer Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Business Phone*

Annual Income (before tax)* $

Other Income (Annual) $

Source of other income

Please specify the number of years*

Guarantor's Previous Employer

Employer name*

Employment status*

Occupation

Occupation Type*

Employer Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Business Phone*

Subject Property

MLS Listed?*

Yes No

Are you a first time buyer?*

Yes No

Estimated Property Value* $

Type of Property*

Anticipated Closing Date*

Purchase Price* $

Source of Downpayment*

Downpayment Amount* $

Annual Property Taxes* $

Is the mortgage for your principal residence?*

Yes No

Subject Property Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Occupancy*

Water Info*

Sewage Info*

Do you have another mortgage on this property?

Yes No

Existing Mortgage

Mortgage Holder*

Original Mortgage Amount $

Balance* $

Monthly Payment* $

Maturity Date*

Assets

Do you have any vehicles?*

Yes No

Vehicle #1 (Make / Model / Year)*

Vehicle #1 Value* $

Vehicle #2 (Make / Model / Year)

Vehicle #2 Value $

Do you have any stocks / bonds?*

Yes No

Stocks / Bonds Description

Value * $

Do you have any other assets?*

Yes No

Other Assets Description*

Value* $

Liabilities

Do you have any credit cards?*

Yes No

Credit cards #1

Institution Name of Credit Card

Balance* $

Monthly payment* $

Credit cards #2

Institution Name of Credit Card

Balance $

Monthly Payment $

Do you have a line of credit?*

Yes No

Line of credit

Institution of Line of Credit*

Balance* $

Monthly Payment* $

Do you have any other debt?*

Yes No

Other

Description

Balance* $

Monthly Payment* $

Other Real Estate

Do you have any other real estate?

Yes No

Property Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Property Value* $

Original Closing Date*

Do you have any mortgage for this property?*

Yes No

Mortgage Holder*

Balance* $

Monthly Payment* $

Maturity Date*

Application Terms

Do you have any judgments or legal proceedings against you?*

Yes No

Have you ever declared bankruptcy?*

Yes No

Date discharged*

Agreement Regarding Personal Information

I certify that the information given in this application is true and correct and I consent to the collection and use of credit and personal information as set out below.

You may collect credit, identity and financially related information about me during the course of my relationship with you from credit bureau, other financial institutions and references (“Information”). You may also disclose Information to credit bureau, financial institutions, and to outside providers of mortgage services. You and those parties may use Information to identify me, understand my needs and eligibility for this application and for other services and to recommend and market particular products and services. You are also authorized to retain this application whether or not the application is approved.

Information collected will be kept in a separate customer file managed by Home Trust Company at its offices in Toronto, Ontario. I have a right to access this Information. I may obtain your privacy code, ask you to correct Information, or tell you to stop using Information for any of these purposes at any time by calling you toll free at 1-866-817-7719 or by sending a written request to: Corporate Compliance, 145 King Street West, Suite 2300, Toronto, Ontario, M5H 1J8.

Co-Applicant Consent for Joint Disclosure

Where there is a Co-Applicant on this Account, you are each entitled to receive separate disclosure documents and statements mailed or otherwise delivered to the address each of you designates. This includes the initial cost of borrowing disclosure statement, each annual loan statement and any notice of change in payment frequency, interest rate or other matters as well as renewal offers and notices (together called "Statements" in this consent form). You will each receive in separate envelopes a copy of all Statements unless you consent to Home Trust Company sending you only one copy.

You may by notice to us at any time alter this consent to thereafter have Statements sent to each Co-Applicant at the address he or she provides. You may contact us for further information regarding this matter at 1-877-903-2133.

We consent to one copy of Statements being sent to us at the mortgaged property address set out in this Application or such new address as we at a later time may give to you.

Yes No

Québec: Je veux que cette demande ainsi que tous les documents rapportant au prêt hypothécaire soient rédigés en anglais. I want this application and all the documents related to the mortgage other loan documentationto be written in English.

Acceptance of Application Terms*

I apply for a Home Trust Mortgage Account and agree to these terms