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.