Amzu Mortgages
License # 12470
Tel: 905-921-3502
Toll free: 1-888-551-5171
info@amzumortgages.ca

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Amzu Mortgages Application

Applicant Identification

First Name

Last Name

Address

City

Postal Code

Province

Primary Telephone

Secondary Telephone

Date of Birth

Social Insurance Number

Accomodations

Own Home Renting

Credit Details

Bad Credit?

Yes No

If yes, please explain

Income & Employement

Employer

Telephone

Position

Salary

Years Employed

Previous Employer

If less than three years with current employer

Telephone

Position

Salary

Years Employed

Co-Applicant?

Yes No

Co-Applicant Identification

First Name

Last Name

Relationship to Applicant

Address

City

Postal Code

Province

Primary Telephone

Secondary Telephone

Date of Birth

Social Insurance Number

Accomodations

Own Home Renting

Bad Credit?

Yes No

If yes, please explain

Co-Applicant Income & Employement

Employer

Telephone

Position

Salary

Years Employed

Previous Employer

If less than three years with current employer

Telephone

Position

Salary

Years Employed

Your Assets

Bank Name

Bank Location

Bank Balance

Real Estate

Automobile

R.R.S.P

Other Assets

Your Liabilities

Credit Name | Balance | Monthly | Interest Rate

Loan/Mortgage 1

Loan/Mortgage 2

Loan/Mortgage 3

Credit Card 1

Credit Card 2

Credit Card 3

Credit Card 4

Loan Requirements If Home Purchase?

Purchase Price

Closing Data

Downpayment Source?

If Home Refinancing?

Original Purchase Price

Date Purchased

Current Value

Value Assement

Reason for Refinancing

Refinancing Date

Purchase or Refinancing Property Information

Property Address

Property Details

Dwelling Size | # of Bedrooms | # of Bathrooms

Lot Size (L x W) | Cost of Taxes | Condo Fees

Recent Renovations?

No Yes

Finished Basement?

No Yes

Mortgage/Financing Requirements

Mortgage Details

Feedback Survey

Comments/Questions

How did you find Amzu Mortgages?

Authorization

Release Consent

Yes, I understand that by selecting this checkbox, Amzu mortgages may contact a credit beureau about me for personal/credit data. I consent to release such data to other credit grantors or credit bureaus. A finders fee may be paid to the broker in connection with the application. The amount will be disclosed to the applicant upon request. Acknowledged electronically by pressing SUBMIT button in on-line credit application.