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ON-LINE MORTGAGE APPLICATION
      The application is in two parts. The first is personal information and the second is your current financial status. Please fill in all appropriate fields to facilitate a quick response to your request. Thank you.                                                                                                                                          



On-Line Mortgage Application:
Completing this form will permit First Citizens Mortgage Corporation to process your request quickly. All information submitted is strictly confidential and will be used to verify your credit rating. There is no obligation or commitment even after submitting this form.

Current need
 
   Please select one or more of the following options:
Pre-approval
Purchase
Refinance
Renewal
Second mortgage


  Please proceed to complete the personal information below. 

 



Personal Information  
First Name:
Middle Name:
Last Name:
Date of Birth:
SIN:
Marital Status:
Dependents:
Current Address:
City:
Province:
Postal Code:
Email:
Home Phone:
Fax:
If you have resided for less than 3-years at current address, please fill out the four following questions below.
Previous Address:
City:
Province:
Postal Code:
Applicant's Current Occupation:
Current Employer:
Work Phone:
Gross Yearly Income:
Type of Income:
Current Employer Address:
Previous Occupation: (if less than 3-years)
Previous Employer:
Former Gross Yearly Income:
Years There:
If married or applying with co-applicant please fill out the section below.
First Name:
Middle Name:
Last Name:
Date of Birth:
SIN:
Relation to Applicant:
Home Phone:
Current Occupation:
Current Employer:
Work Phone:
Gross Yearly Income:
Type of Income:
Current Employer Address:
Previous Occupation: (if less than 3-years)
Previous Employer:
Former Gross Yearly Income:
Years There:


ON-LINE MORTGAGE APPLICATION - PART II
    This is the final step to complete your on-line application. Please proceed and be as accurate as possible to speed up the process. Thank you.


FINAL STEP - Please complete the following:


3. Liabilities
Enter total outstanding balance: Credit Cards $
Enter total outstanding balance: Loans/Lines of Credit $
Enter total monthly payments: Car Payments $
Enter total monthly payments: Alimony/Support/Other $


4. Assets
Vehicle 1 (Year, Make, Model) RRSPs $
Vehicle 2 (Year, Make, Model) Stocks/Bonds $
Name of your bank(s) Cash/Savings $


5. Property Details
Mortgage Required$
Home Value$
Taxes$
Original Purchase Price$
Original Purchase Date
Dwelling Type Property Age Tenure
Dwelling Style Square Footage Garage Size
Heating Type Lot Size (sq ft) Garage Type


5a. Details of First Mortgage
Lender(held by)
Mortgage #

$
Balance
Rate %

$
MP
Maturity Date
Property Address 


5b. Details of Second Mortgage
Mortgage Lender
Mortgage #

$
Balance
Rate %

$
MP
Maturity Date
Property Address 


6. Lender Preference
Choose One


7. Comments (Please provide any additional information that would assist us in approving your loan request.)
 

Once you have completed the form and are satisfied the information provided is accurate, please read the disclaimer below and then click on the I/We Agree button. Please only click once. It may take a few minutes, depending on your internet connection speed for the information to be transferred.

**I / We hereby certify that the information given is true and correct to the best of my / our knowledge. I / We consent to First Citizens Mortgage Corporation, or its agent, obtaining reports containing credit or personal information in connection with this application.

**Borrowers agreement Date


Once you click on the I / We Agree button your information will be sent to First Citizens Mortgage and we will respond within 24 hours to your request. Thank you for choosing First Citizens Mortgage Corporation.

© 2005 firstcitizensmortgage.com


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