$

Personal Information

Tell us about yourself

Where do you live?

Address*

How can we get in touch?

Help us identify you better

Date of Birth*

Employment

Are you self-employed?*
Is your employment address same as your living address?*
Employer Address*
$
$

Previous Employer

Employer Address*

Add Co-applicant or Guarantor

Do you want to add co-applicant*
Do you want to add guarantor*

Co-applicant Personal Information

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

Co-applicant Living Address

Address

Co-applicant Contact information

Identify Co-applicant

Date of Birth*

Co-applicant Employment

Are you currently employed*
Are you self-employed?*
Is your employment address same as your living address?*
Employer address*
$

Co-applicant's Previous Employer

Employer Address*

Guarantor Personal Information

Guarantor Living Addres

Address*

Guarantor Contact Information

Guarantor Identify

Date of Birth*
Are you currently employed

Guarantor Employment

Are you self-employed?*
Is your employment address same as your living address?*
Employer Address*
$
$

Guarantor's Previous Employer

Employer Address*

Subject Property

MLS Listed?*
Are you a first time buyer?*
$
Anticipated Closing Date*
$
$
$
Is the mortgage for your principal residence?*
Subject Property Address*
Do you have another mortgage on this property?

Existing Mortgage

$
$
$
Maturity Date*

Assets

Do you have any vehicles?*
$
$
Do you have any stocks / bonds?*
$
Do you have any other assets?*
$

Liabilities

Do you have any credit cards?*

Credit cards #1

$
$

Credit cards #2

$
$
Do you have a line of credit?*

Line of credit

$
$
Do you have any other debt?*

Other

$
$

Other Real Estate

Do you have any other real estate?
Property Address*
$
Original Closing Date*
Do you have any mortgage for this property?*
$
$
Maturity Date*

Application Terms

Do you have any judgments or legal proceedings against you?*
Have you ever declared bankruptcy?*
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.

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*