Skylark Mortgage Application

LICENSE #10341

APPLICANT & CO-APPLICANT FORM

The following information is required by the applicant(s) in order to complete an application.. You can also download the PDF form and email it to us. Once this form is submitted, an agent will be in touch with you shortly.

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PERSONAL DETAILS

First Name & Last Name

Co-Applicant First Name & Last Name

Date of Birth

Cell Phone Number

Co-Applicant Date of Birth

Co-Applicant Cell Phone Number

Emaila valid email

Co-Applicant Emaila valid email

Marital Status

ADDRESS

Address

Unit Number

Postal Code

IDENTIFICATION

Social Insurance Number

Driver Licence Number

Co-Applicant Social Insurance Number

Co-Applicant Driver Licence Number

APPLICANT EMPLOYMENT

Occupation / Job Title

Employer Name

Employer Phone Number

Years at Job

Total Annual Income

Self-Employed Annual Gross Revenue

Employer Address

Unit Number

Postal Code

OTHER INCOME

Other Income Description

Other Total Annual Income

CO-APPLICANT EMPLOYMENT

Occupation / Job Title

Employer Name

Employer Phone Number

Years at Job

Total Annual Income

Self-Employed Annual Gross Revenue

Employer Address

Unit Number

Postal Code

PROPERTY OWNED BY APPLICANT

Address

Unit Number

Postal Code

Property Value

Annual Property Tax

Do you own additional property?

YesNo

Additional Property Address

MORTGAGE INFORMATION

Mortgage TypeFirst, Second, etc..

Payment

Frequency

Balance

Interest Rate

SUBJECT PROPERTY INFORMATION

Address

Unit Number

Postal Code

OccupancySelect all that apply

Owner-OccupiedRentalSecond Home

Property TypeDetached Home, Condo, etc...

Tenure

CondoFree Hold

Condo Fees

You authorize us, and any financial institution we send this application, to obtain information about you as permitted by law, including credit card information, and to use your social insurance number for the express purpose of obtaining and sharing said information with other credit grantors, credit bureau, suppliers of services and mortgage insurers, and also to keep this application for our records.