MORTGAGE APPLICATION


Borrower Information


Current Employment


Previous Employment (complete if less than 3 years with current employer)


Co-Applicant Information (Optional)


Current Employment


Previous Employment (complete if less than 3 years with current employer)


New Property Details


Assets


Liabilities


Properties Owned


Mortgage Information on Properties Owned


General Information


Credit Bureau Consent Form

Signatures

For the purpose of providing mortgage brokerage services CCI Mortgages will act on behalf of the above-named clients to secure mortgage financing on their behalf.

The above information is to the best of my/our knowledge and belief a true statement of my/our personal information. In submitting this information, I/we hereby consent to CCI Mortgages obtaining such credit reports and other information as CCI Mortgages may deem necessary at any time in connection with this application for a mortgage loan. I/We hereby consent to the disclosure of my/our personal and credit information to any credit reporting agency, financial institution, legal firm, title insurance company and mortgage insurance company as applicable.

I/We acknowledge that I/We will be responsible for all usual costs incurred in obtaining this mortgage including, but not limited to legal fees, disbursements, title insurance and appraisal costs. Appraisal costs, where applicable, are to be paid in full to the appraiser at the time of inspection or to the mortgage agent prior to request of the appraisal.

Your privacy is important. We are committed to respecting and protecting your privacy and security. We have implemented measures to protect the privacy and security of your personal information through strict policies and practices in compliance with applicable Federal and Provincial privacy legislation. Please contact us to discuss our privacy and security policies and practices.

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HOW TO APPLY

First, complete the Initial disclosure form.

INITIAL DISCLOSURE FORM

After submitting the Initial Disclosure Form, you can proceed to complete the Mortgage Application Form online.

ONLINE MORTGAGE APPLICATION

OUR LOCATION

Suite 1-816 McIntosh Street
Regina, Saskatchewan 
CANADA S4T 5B4