Excalibur Mortgage Online Application

1. Please Select the Type of Application

Purchase Pre-Approval Refinance Equity Take Out Switch Transfer

2. Applicant Information

First Name
Last Name
Address:
City:
Province:
Postal Code:
How long have you lived at the address above:
Do you own or rent:
Home Phone:
Alternate Phone:
If at above address for less than 5 years, please provide previous address information:
E-Mail:
Birth Date:
   DD / MM / YYYY
Employer:
Employer Address:
Employer City:
Employer Province:
Employer Phone:
Employer Fax:
Tenure: Years with Current Employer
Title / Occupation:
Rate of Pay:$ Annually
SIN Number
   

3. Spouse / Co-Applicant

First Name
Last Name
Address:
City:
Province:
Postal Code:
How long have you lived at the address above:
Do you own or rent:
Home Phone:
Alternate Phone:
If at above address for less than 5 years, please provide previous address information:
E-Mail:
Birth Date:
   DD / MM / YYYY
Employer:
Employer Address:
Employer City:
Employer Province:
Employer Phone:
Employer Fax:
Tenure: Years with Current Employer
Title / Occupation:
Rate of Pay:$ Annually
Sin Number
   

4. Assets
Where do you Bank?
Cash in Savings:$
Cash In Chequing:$
RRSPs: $
Stocks / Bonds:$
Vehicle # 1: (Year/ Make / Model)
Own / Lease
Approximate Value: $
Amount Owning: $
Loan Holder:
Monthly Payment: $
Vehicle # 2: (Year/ Make / Model)
Own / Lease
Approximate Value: $
Amount Owning: $
Loan Holder:
Monthly Payment: $
Vehicle # 3: (Year/ Make / Model)
Own / Lease
Approximate Value: $
Amount Owning: $
Loan Holder:
Monthly Payment: $
   

5. Liabilities

    Loan Type

  Lender name (bank, etc.)  |  Total Owing  |   Monthly Payments
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Any Other Information you would like us to know?

 
Please contact me as soon as possible regarding this matter.

By Filling out this application form, I hereby authorize Randy Sawatsky of Excalibur Mortgages to obtain a credit report and make any necessary inquiries regarding my mortgage application and to release this information to any approved lender who may be interested in providing funds on my behalf.

I have read, understood and agree to the Terms & Conditions.   I AGREE   I DISAGREE