CALL: 250-878-1541 EMAILdave@davidiverson.ca

Apply Now

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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:

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