Photo ID First Name:
Photo ID Last Name:
Home Phone Number:
Birthdate:
Mobile Phone Number:
Marital Status:
Social Insurance Number:
Email:
Alternative Contact Name:
Alternative Contact Phone Number:
Address:
Apartment or Unit Number:
City/Province:
Postal Code:
Gross Monthly Income:
Monthly Housing Costs:
Housing Status: OwnRentLive with Parents
Number of years at this address:
Previous Address (If Less than 4 Years):
Acceptable Photo ID: Canadian Passport, Canadian Citizenship, Age of Majority, Permanent Residency etc
Photo ID Card Type:
Photo ID Province:
Photo ID Number:
Photo ID Expiry:
Industry:
Occupation:
Principal Business or Employers Name:
Work Phone Number:
Employer Address:
Time at Job (Years):
Past Employer (If less than 4 years):
You authorize the Lender to, obtain your Credit Report from one or more consumer Credit Reporting Agencies; to verify the Credit Information in your Credit Report with third parties as necessary; to share your Credit Information with Credit Reporting Agencies; to update your Credit Report at the Credit Reporting Agencies during the term of the Loan; and you acknowledge that we will use the Credit Report and Credit Information: to record certain ratings and ratios that reflected in your Loan Request, for example, your Credit Rating, Affordability Rating, and Stability Rating.
Name:
Date:
Signature:
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