New Purchase Application - Prime Mortgage Works

Personal information:

Name*

First Name: Last Name:

Email:*

Phone number:*

Date of birth

Employment

Type

Sole Propietor of Corp.

Time in Business

Annual Income Claimed ($)

Employer Name

Time at Employer

Annual Salary ($)

Address:

Unit and street address: City: Province: Postal Code: Country:

Current property:

You currently:

Rent
Own

Rental Cost

Value

Outstanding Balance

Mortgage Payment

Timeline (in weeks, months)

Have you Made an Offer

Yes
No

Working with a REALTOR

Yes
No

Purchase Price

Downpayment

Fixed or Vairable

Fixed
Variable

Owner-Occupied or Investment

Owner-Occupied
Investment

Consent*

I/We the undersigned, declare the information provided is a true and complete representation. I/We understand that it is being used to determine my/our credit responsibility and to evaluate my/our request for credit. I/We authorize We or their designate to obtain a credit report. I/We acknowledge that the completion of a credit application may take time and it might entail additional credit reports. I/We permit additional credit reports for up to six (6) months from the date signed below. I/We also authorize We to exchange such credit information for the purpose of securing credit with potential mortgage lenders, mortgage insurers or other service providers. We may retain the application and credit information.

I accept the above terms

Hidden

Down Payment %%%%

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