Mortgage Application

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Application Details

Application Type

Loan Amount

Date Funds Required

Referral Agent

Personal Details

First Name

Last Name

Date of Birth

Marital Status

Contact detail

First

Type

Phone Number

Extension

Preference First

Preferred

Second

Type

Phone Number

Extension

Preference Second

Preferred

Third

Type

Phone Number

Extension

Preference Third

Preferred

Current Residence

Street

Unit/Apt Num

RR/PO BOX

City

Province

Postal Code

Purchase Price/Estimated Value

Date Moved In

Previous Residence

Please fill out only if you have lived for less than 3 years at your current address!

Street

Unit/Apt Num

RR/PO BOX

City

Province

Postal Code

Purchase Price/Estimated Value

Date Moved In

Primary Employment

Employer

Employment Status

Employment Type

Job Title

Start Date

Annual Income

Street

City

Province

Postal Code

Other Employment

Please fill out if you have another place of employment

Employer

Employment Status

Employment Type

Job Title

Start Date

Annual Income

Street

City

Province

Postal Code

Previous Employment

Please fill out only if you have worked for less than 3 years at your current place of employment!

Employer

Employment Status

Employment Type

Job Title

Start Date

Annual Income

Co-Applicant Details

Please fill out only if there is going to be a co-applicant!

First Name

Last Name

Date of Birth

Relationship To Applicant

Contact Details

First

Type

Phone Number

Extension

Preference First

Preferred

Second:

Type

Phone Number

Extension

Preference Second

Preferred

Employment Details

Employer

Employment Status

Employment Type

Mortgage Type

Amount Requested

Downpayment

Downpayment Source

Closing Date

Term

Amortization

Property details

Property Address

Street

Unit/Apt Num

RR/PO BOX

City

Province

Post Code

Purchase Price/Estimated Value

Date Moved In

Property Currently Mortgaged?

First Mortgage

Lender

Original Amount

Curent Balance

Monthly Payment

Status

Second Mortgage (if applicable)

Lender

Original Amount

Curent Balance

Monthly Payment

Status

Construction Details

Property Description

Construction Type

Property Type

Occupancy Status

Building/Unit Size

Lot Dimensions

Lot Size

Parking

Heating

Tenure

Year Built

Annual Taxes

Condo Fees

MLS

Comments

Please submit any comments, questions or concerns in the box below

Submitting

The above information is submitted to enable Pegasus Mortgage and Financial Solutions Inc to consider a mortgage loan, and is to the best of my /our knowledge and belief a true statement of my/our personal information. In submitting this information, I /We hereby consent to Pegasus Mortgage and Financial Solutions Inc obtaining such credit reports and other information as Pegasus Mortgage and Financial Solutions Inc may deem necessary at any time in connection with this application for a mortgage loan. I/We hereby consent to the disclosure of my/our personal and credit information to any credit reporting agency, financial institution, legal firm, title insurance company, mortgage insurance company and Pegasus Mortgage and Financial Solutions Inc. I /We also consent to receive periodic mortgage account information.

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