If you have progressed to this point, we do humbly suggest that you call us first before sending any application. We feel it is important to establish that communication link at the onset of a relationship. When it comes to mortgages and mortgage brokers, you will no doubt have questions, let us answer them first so that you are completely comfortable in filling out this application. If there is a question on the application you are not comfortable answering, then don't. As we move forward to your mortgage needs, if the information "is" required we will explain why so that you understand.

To apply for a mortgage with Genesis Associates your mortgage application option is:

Rob Munn B.Sc.
License M08002081
Genesis Associates Ltd
Mortgage Brokerage and Administration
Broker License 10295
Administrator License 11347

Where Did You Hear of Us?

Google Yahoo MSN Yellow.ca
Other (Please Specify): Keyword search used:
Newspaper Yellow Pages Referral

Personal Information

Are you currently a home owner? Yes No
Are you self employed? Yes No
Are you applying for: Purchasing Refinancing Switching Mortgage Lenders
First Name: Middle Initial: Last Name:

Date of Birth: S.I.N.:

Marital Status: Dependents:


Current Address:

City: Province:

Postal Code: # of years there:


Previous address (if less than 3 years ago):

City: Province:

Postal Code: # of years there:


Email Address: Home Phone:

Residential Status: Own Rent Live with Parents Other (please specify)


Type of Income: Salary Hourly Commission Self-Employed
Pensioner Alimony Other (please specify)


Current Employer: Current Occupation:

Work Phone: Ext.

Current Employer's Address:

Gross Yearly Income: # of years there:


Previous Employer (if less than 3 years ago):

Gross Yearly Income: # of years there:

Co-Applicant Information (Complete this if you are married or have a co-applicant.)

First Name: Middle Initial: Last Name:

Date of Birth: S.I.N.:

Relation to Co-Applicant:


Type of Income: Salary Hourly Commission Self-Employed
Pensioner Alimony Other (please specify)


Current Employer: Current Occupation:

Work Phone: Ext.

Current Employer's Address:

Gross Yearly Income: # of years there:


Previous Employer (if less than 3 years ago):

Gross Yearly Income: # of years there:

Existing First Mortgage Details

First Mortgage Held By: Mortgage Number:

Property Address: Mortgage Balance:

Mortgage Type: N/A First Mortgage Other (please specify)

Maturity Date:

Existing Mortgage Rate: % Monthly Payments $ Monthly property taxes $

Year Purchased: Resale Value of Property $

If refinancing, what is your total request for loan? $

Other Mortgage Details (i.e.: If you have a second property or second mortgage)

Other Mortgage Held By: Mortgage Number:

Property Address: Mortgage Balance:

Mortgage Type: N/A First Mortgage Other (please specify)

Maturity Date:

Existing Mortgage Rate: % Monthly Payments $

Do you have a third mortgage on your property as well? Yes No

Details of Mortgage Loan

Purchase price of the property? $ Monthly property taxes? $

How 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 Other (please specify)

Desired Term: yr(s)

Amortization: 5yr 7yr 10yr 15yr 20yr 25yr

Liabilities

Enter total outstanding balances: Credit Cards: $ Loans/Lines of Credit: $

Enter total monthly payments: Car Payments: $ Alimony/Support/Other: $

Assets

Vehicle 1 (year, make, model): Vehicle 2 (year, make, model):

RRSPs: $ Stocks/Bonds: $ Cash/Savings: $

Name of your bank(s):

Property Information (required if purchasing, refinancing or switching)

Dwelling Type: Detached Semi-Detached Townhouse Duplex Triplex
High Rise Condominium

Dwelling Style: One Storey Two Storey Three Storey Bi-Level
Split Level Storey and a half

Garage Size: Single Double Triple None

Garage Type: Attached Detached None

Square Footage: Lot Size:

Total Bedrooms: Total Bathrooms: 1 1.5 2 2.5 3+

Property Age:

Tenure: Freehold Condo

If property is a condominium, how much are the condominium fees? $
Do the fees included heating? Yes No

Heating Type:

Other Important Information

Have you declared bankruptcy? Yes No

If so when was your bankruptcy discharged?

Do you have any unpaid judgments or collections? Yes No

Have you applied for a mortgage loan elsewhere in the past 90 days? Yes No

How many months are you behind on your loans or credit cards? 1 month 2 months 3 months 4 months+ Not behind on any payments

How many months are you behind on your existing mortgage? 1 month 2 months 3 months 4 months+ Not behind on any payments

When is the best time to reach you?

Please provide any additional information which could help us to approve your loan:




By 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 either institutional or private funds who may be interested in providing mortgage financing on our behalf.

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