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Pre-Approval Online Mortgage Application

Complete this confidential application on-line MORTGAGE QUALIFIER

A QUALIFIED PURCHASER CAN DEMAND THE BEST! If you are currently in the market for a new mortgage or refinance and we can help you determine what the mortgage market has available. You may print out the questionnaire below and return it to either your real estate professional or fax it directly to me at 905-828-2829 You may also fill it out online and press the submit button below to send your information to me directly and securely.

Same or:
Same or:
Postal Code
Same or:
Home Telephone #
Same or:
Email Address
Date of Birth
Employer - Name
Employer - Address
Employer - City/Postal Code
Occupation / Years of Service
Business Telephone #
Annual Income
Balance or Value
Balance or Amount
Monthly Payment
Cash in Bank
Bank Loans
Real Estate
Credit Cards
Other Assets
Other Loans
Total Assets
Total Liabilities

You certify that the information provided is true and accurate, that all debts are current and in good standing, that you have no outstanding judgments, and that you have not declared bankruptcy in the past 6 years. You authorize RE/MAX Realty Specialists Inc. to obtain information about you as permitted by law, and to use your social insurance number for the express purpose of obtaining and sharing said information with other credit grantors, credit bureau, suppliers of services and mortgage insurers, and also keep this application for our records.


Applicants Signature: ___________________________________ Date: _________________________

Co-Applicants Signature: ________________________________ Date: _________________________

RE/MAX Realty Specialists Inc.


Four ways to contact Mark

Engineers, PEO members take note, Mark is a PEO member so you can be assured of professional, courteous and high ethical standards, use the best
Phone: (905) 828-3434
Fax: (905) 828-2829


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