Dominion Lending Centres – White House Mortgages – 107 – 1980 Cooper Rd, Kelowna, BC – PHONE #: 250-868-2209

Purpose of Loan

Type of Loan

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

Unit

Street Dir.

City/Town

Postal Code

Province

Home Phone

 
 

Time at this address:

 
 

Present Employer

Name Of Employer

Occupation Type

Work Phone

Annual Income

Length of Employment:

Type of Income

Personal Information - Applicant 2

Identification

Last Name:

First Name:

Initial

SIN#

Date of Birth:

Email Address

Current Living Address

Street Name

Number

Street Type

Unit

Street Dir.

City/Town

Postal Code

Province

Home Phone

 
 

Time at this address:

 
 

Present Employer

Name Of Employer

Occupation Type

Work Phone

Annual Income

Length of Employment:

Type of Income

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: