Contact Information * First Name: * Last Name: * Email Address: * Phone Number: Mortgage Information * Mortgage Type ---Pre-ApprovalPurchase of a houseRefinancing of a houseRenewal or transfer to another bankOther * Property Type ---House/Side by Side/TownhouseCondo/ApartmentMobile homeOther * Estimated Price: ---Less than $100,000$100,000 - $150,000$150,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $600,000$600,000 - $700,000$700,000 - $800,000$800,000 - $1,000,000Over $1,000,000 Down Payment ---0 %5 %10 %15 %20 %25 %30 %40 %50 %Over 50 % Current mortgage ---NoneLess than $100,000$100,000 - $150,000$150,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $600,000$600,000 - $700,000$700,000 - $800,000$800,000 - $1,000,000Over $1,000,000 Amount To Borrow: ---Less than $100,000$100,000 - $150,000$150,000 - $200,000$200,000 - $300,000$300,000 - $400,000$400,000 - $500,000$500,000 - $600,000$600,000 - $700,000$700,000 - $800,000$800,000 - $1,000,000Over $1,000,000 Credit Score: ---ExcellentGoodSome ProblemsMajor ProblemsNone Applicant's Current Address Your Address Your City Province: ---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNew ScotlandOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukon Postal Code Your Status in Canada: ---NoneWork PermitPermanent ResidentCanadian Citizinship How long are you in the country? ---Less than 3 month3 month - 6 month6 month - 9 month9 month - 12 month1 year2 year3 year4 year5+ years Current Living Status ---OwnRentLiving with Parents Number of Applicants ---SingleCo-Applicant * Co-Applicant First Name * Co-Applicant Last Name Current Employment & Income Job Title Length at Current Employment ---Less than 3 month3 month - 6 month6 month - 9 month9 month - 12 month1 year2 year3 year4 year5+ years Name of Current Employer Address of Current Employer City Province ---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNew ScotlandOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukon Type of Income ---SalarySelf EmployedHourlyPart TimeFull TimeOther Annual Income Amount Other Income Source ---AlimonyChild SupportRental IncomeInvestmentBonusCommissionsOther Total Other Income Amount Additional Information How did you hear about us? ---InternetRealtorFacebook GroupFriendsFamilyOther Realtor First Name Realtor Last Name Friend First Name Friend Last Name Additional Information I/We the undersigned, declare the information provided with respect to my/our mortgage application is a true and complete representation of my/our financial situation. I/We understand that it is being used to determine my/our credit responsibility and to evaluate my/our request for mortgage financing. I/We authorize VS Solutions to obtain a credit report. I/We also authorize VS Solutions to exchange such credit information for the purpose of securing mortgage financing to potential mortgage lenders, mortgage insurers or service providers. VS Solutions will retain the application and credit information whether or not the mortgage is approved.
