Warning: include_once(/nfs/c09/h03/mnt/130817/domains/simplifiedfs.com/html/wp-content/themes/display/wp_list_comments.php): failed to open stream: No such file or directory in /nfs/c09/h03/mnt/130817/domains/simplifiedfs.com/html/wp-content/themes/display/framework/include_framework.php on line 37

Warning: include_once(): Failed opening '/nfs/c09/h03/mnt/130817/domains/simplifiedfs.com/html/wp-content/themes/display/wp_list_comments.php' for inclusion (include_path='.:/usr/local/php-5.6.21/share/pear') in /nfs/c09/h03/mnt/130817/domains/simplifiedfs.com/html/wp-content/themes/display/framework/include_framework.php on line 37
Simplified Financial Solutions » Mortgage Application

To apply for your mortgage simply fill out the form below. One of our mortgage professionals will review your application and contact you within
24 hours. Please fill in each field as accurate as possible to ensure your fast approval.

Personal Information

*First Name:

*Last Name:

*Address:

*Postal Code:

*City:

*Province:

Since:

*Birth date (yy/mm/dd):

Gender:

*Marital Status:

*Contact #:

*Email:

No. of dependents (exclude spouse):

Co-Applicant Information

Co-Applicant First Name:

Co-Applicant Last Name:

Address:

Postal Code:

City:

Province:

Since:

Birth date (yy/mm/dd):

Gender:

Marital Status:

Contact #:

Email:

Relationship to Applicant:

Government Issued ID (Must provide at least 1)

Drivers License #:

Passport #:

Citizenship #:

Government Issued ID (Must provide at least 1)

Drivers License #:

Passport #:

Citizenship #:

Previous Address (if less than 2 years at current address)

Address:

Postal Code:

City:

Province:

Previous Address (if less than 2 years at current address)

Address:

Postal Code:

City:

Province:

Current Employer

Employer Name:

Address/Postal Code:

Employer Contact #:

Occupation/Title:

Status:

Employed Since:

Income (Annual):

Current Employer

Employer Name:

Address/Postal Code:

Employer Contact #:

Occupation/Title:

Status:

Employed Since:

Income (Annual):

Other Income (Child Support, Pension, Interest, Rent)

Type:

Monthly Amount:

Type:

Monthly Amount:

Assets

Subject Property

Address:

Postal Code:

City:

Province:

House Type:

Condo Fee:

Annual Property Tax:

Value:

Balance:

Monthly Payment:

Rate:

Creditor:

Mortgage Maturity:

Subject Property Details

Type:

Purchase Date:

Rate/Term:

Age:

Garage:

Style:

Condo/Freehold:

Lot Size:

Legal Description:

Living Space:

Heat:

Other Properties

Address:

Postal Code:

City:

Province:

House Type:

Condo Fee:

Annual Property Tax:

Value:

Balance:

Monthly Payment:

Rate:

Creditor:

Rental Income:

Asset Type (Savings/RRSP/Investments/Automobile)

Type:

Amount:

Type:

Amount:

Liabilities (Credit Card/Personal Loan(s)/Car Loans)

Balance:

Monthly Payment:

Creditor:

Balance:

Monthly Payment:

Creditor:

Liabilities - Expenses (Child Support/Pension/Interest/Rent)

Type:

Monthly Amount:

Type:

Monthly Amount:

Requested Loan

Product:

Purpose:

Amount Required:

* Denotes required field.

By submitting this form I/We, the applicant, named herein, AUTHORIZE this Mortgage Brokerage (Simplified Financial Solutions Incorporated. License #11919),
with this Signature, to obtain my/our credit information as permitted by law, Share information (Including my/our social Insurance Number(s) about my/our
application and credit history with other credit grantors, Credit bureaus, suppliers of services and mortgage insurer’s to us my/our Social Insurance Number(s) for
the express purpose of obtaining and sharing information, and keeping this application for my/our records. I/We also confirm that all the information presented in
this application is based on my/our best Knowledge, True and Accurate.

*Full Name:

*Date:

Co-Applicant Full Name:

Date: