Mortgage Application Form

Welcome to our Secure Server! Just fill in this form telling us a few important facts about yourself and your mortgage needs. A representative will provide you with a FREE quote at the best mortgage rates available in Canada within hours. Remember, we mortgage property anywhere in Canada.

Or call us anytime at 613-563-3447

Please use this form for ON-LINE APPLICATIONS ONLY. If you would prefer to fax the information, call us at 613-563-3447 to request a faxable copy.


Referral Details	I heard about you through... Have you spoken to one of our mortgage brokers/agents yet? YesNo Please select a broker/agent: I was referred to or spoke to a specific mortgage broker/agent at Ottawa-Carleton Mortgage Inc., Mortgage Brokerage Licence # 10419 YesNo
	Applicant Information	Co-Applicant Information
Name:
# Dependents
Rent/Own
How Long
Rent/Mortgage	$	$
Street Address
Suite/Apt
City
Province
Postal Code
Previous Address (if less than 3 years at above address)
Suite/Apt
City
Province
Postal Code
Rent/Own
How Long
Rent/Mortgage	$	$
If your previous 2 addresses are less than 3 years combined please provide additional information on where you lived in the additional space below.

E-Mail
Home Phone
Business Phone
Business Ext
Date of Birth
Social Insurance Number
Employer
Occupation
Years at this Employer
Annual Income

Previous Employer (if less than 3 years at this Employer)
Occupation
Years at this Employer
Annual Income
Other Income
Source of Other Income
If the years at your previous two employers are less than 3 years combined please give us additional information where you have been employed in the additional information space below.

Assets	Value	Liabilities	Balance	Monthly Payments
Cash in Bank	$	Bank Loans / Line of Credit	$	$
Stocks	$	Total Credit Cards	$	$
G.I.C.	$	Personal Inc. Tax Arrears	$	$
R.R.S.P.	$	HST Arrears	$	$
Automobile	$ (make/model)	Automobile Loan	$	$
Gift	$	Property Tax Arrears	$	$
Residence	$	Mortgage on Residence	$	$
Other Real Estate	$	Other Mortgages	$	$
Other Real Estate	$	Other Mortgages	$	$
Other Assets	$	Other Debts	$	$

Your Lawyer's Name:

Telephone:

Current Banking Institution

Is there any additional information we need to know:

Do you have any questions?

I / We have the sum of $ available for a down payment towards the purchase of our home.

The purchase price of our new home is $ .

I / We require ain the amount of $ .

Pre-approval

I / We would like to have a mortgage pre-approval in the range.

Free Mortgage Transfer

I / We would like to transfer my / our existing mortgage which is presently with (Lender's name). This mortgage is due for renewal (date - mm/dd/yyyy). The approximate balance of this mortgage at renewal will be .

You certify that the information provided is true and accurate, that all debts are current and in good standing, that you have no outstanding judgments, and that you have not declared bankruptcy in the past 7 years. You authorize us to obtain credit information about you as permitted by law.
If either applicant has been bankrupt please indicate below as well as the date of your discharge. You certify that the information provided is true and accurate, that all debts are current and in good standing, that you have not outstanding judgments. You authorize us to obtain credit information about you as permitted by law.

Applicant has not be bankrupt		Co-Applicant has not be bankrupt
Applicant has been bankrupt and was discharged (date - mm/dd/yyyy).		Co-Applicant has been bankrupt and was discharged (date - mm/dd/yyyy).
I agree [Applicant]		I agree Co-Applicant

** RATES ARE SUBJECT TO PURCHASER/MORTGAGOR/PROPERTY QUALIFICATION AND CHANGE WITHOUT NOTICE. MOST PEOPLE QUALIFY FOR FREE MORTGAGE SERVICE, BUT NOT EVERYONE. CONTACT OTTAWA-CARLETON MORTGAGE INC, MORTGAGE BROKERAGE LICENCE # 10419 TO SEE WHERE YOU STAND. **

PRIVACY AND CONSENT

PERSONAL INFORMATION is information that identifies you as an individual. It includes your name, address, age, gender, and personal financial records including identification numbers such as your Social Insurance Number (SIN), personal references and employment records. When you provide us with your Social Insurance Number, we use it to keep your personal information separate from that of other individuals with a similar name, including information obtained through the credit approval process. You may elect not to provide your Social Insurance Number, unless we are required to use your SIN for income tax reporting purposes. For a full copy of our Privacy Policy visit our website at www.mortgagesmadeeasy.com

WHY DOES OTTAWA-CARLETON MORTGAGE INC, MORTGAGE BROKERAGE LICENCE # 10419 ASK FOR YOUR PERSONAL INFORMATION? Personal Information is required in order to determine your credit worthiness when you are applying for a loan or mortgage. If you have any questions about the process, just ask us. In addition to these purposes, which are self-evident, we ask for your personal information for the following reasons

To understand your needs
To determine the suitability of the products of various Lenders that we may recommend to provide the financing you are requesting
To determine your eligibility for financing
To provide you with information on other products and services that we feel that you may be interested in
To comply with the law.

SHARING YOUR PERSONAL INFORMATION Your personal information is held strictly confidential by Ottawa-Carleton Mortgage Inc., Mortgage Brokerage Licence # 10419 Your personal information is shared, to the extent permitted by law, with third parties directly involved in obtaining the mortgage financing or other services that you have requested.

USE OF EMAIL ADDRESS By providing us with your email address, you are granting us permission to send you various emails so that we may stay in touch with you. This may include birthday greetings, renewal notices, and various other emails throughout the year. The following paragraph contains information if you wish to unsubscribe from these email notifications.

If you have any questions about our Privacy Policy or wish to have your name removed from our direct marketing lists, please contact us at 613-563-3447, email or write us at 381 Richmond Road, Ottawa, Ontario, K2A 0E7

PLEASE CHECK BELOW TO ACKNOWLEDGE YOUR ACCEPTANCE OF THIS PRIVACY AND CONSENT NOTIFICATION

I accept [Applicant]

I accept Co-Applicant

Find out how you can get the best mortgage:

APPLY NOW!

6 Month Conv	6.94%
1 Year	7.04%
2 Year	6.34%
3 Year	6.19%
4 Year	5.84%
5 Year	5.54%*
6 Year	6.04%
7 Year	6.34%
10 Year	6.44%
18 Year	N/A
25 Year	N/A
Fully Open Variable	N/A
5 Year Variable	6.30%
Rates subject to change.