Dominion Lending Centres – White House Mortgages – 107 – 1980 Cooper Rd, Kelowna, BC – PHONE #: 250-868-2209 Purpose of Loan ChoosePurchaseRefinanceSwitch Type of Loan ChooseApprovalPre-approval Mortgage Amount Required Value of home Approx Date Funds Required: Personal Information - Applicant 1 Identification Last Name: First Name: Initial SIN# Date of Birth: Email Address Current Living Address Street Name Number Street Type ChooseAvenueBoulevardCircleCourtCrescentDriveGateLanePlaceRoadStreetTerraceTrailWay Unit Street Dir. ChooseEastWestNorthSouthNorth EastNorth WestSouth EastSouth West City/Town Postal Code Province ChooseAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNova ScotiaNorthwest TerritoriesNunavutOntarioQuebecP.E.I.SaskatchewanYoukon Home Phone Time at this address: Present Employer Name Of Employer Occupation Type ChooseManagerClericalLabourer/TradespersonRetiredProfessionalSelf EmployedOther Work Phone Annual Income Length of Employment: Type of Income ChooseSalary/HourlyCommissionPensionAlimonyOther Personal Information - Applicant 2 Identification Last Name: First Name: Initial SIN# Date of Birth: Email Address Current Living Address Street Name Number Street Type ChooseAvenueBoulevardCircleCourtCrescentDriveGateLanePlaceRoadStreetTerraceTrailWay Unit Street Dir. ChooseEastWestNorthSouthNorth EastNorth WestSouth EastSouth West City/Town Postal Code Province ChooseAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNova ScotiaNorthwest TerritoriesNunavutOntarioQuebecP.E.I.SaskatchewanYoukon Home Phone Time at this address: Present Employer Name Of Employer Occupation Type ChooseManagerClericalLabourer/TradespersonRetiredProfessionalSelf EmployedOther Work Phone Annual Income Length of Employment: Type of Income ChooseSalary/HourlyCommissionPensionAlimonyOther Financial Information Assets Where/Financial Institution(s) Type Amount/ Value Cash savings Automobile: present value Value of present home (if owned) Other Liabilities Type Where/Financial Institution(s) Balance Owing Monthly Payment Credit Cards Automobile: Loan/Lease Home Mortgage(s) Other Other information Additional Note for Financial Information: Sunday, June 14
