Nikki Harrison's Online Application Form

 
 

Mortgage Calculator

Understanding your Credit
Rate Types Explained
Frequently Asked Questions
Self Employed
Real Estate Investors
First TIme Home Buyers
Vacation Property-Second Homes
Refinancing
Welcome to NikkiBroker - the most useful Mortgage Website in Alberta

Please fill out this application and submit it to me for approval.  

Please fill in this form completely, if sections or fields are missed, this could slow down the approval process. If you would rather print off this form and fax it to our office, please Click Here to download a .PDF file. 

Print this file and fill out all fields completely and accurately. Then fax it to 1-866-261-3999. Your mortgage options and scenario's will be emailed back to you so you can print them off and keep them for your own reference. If I have any questions with regard to your application, I will email you.

Check your email often for updated status of your application.

 

 

* email address and SIN number is required or your application will not be looked at.

 1. WHAT DO YOU NEED?

Completing this form will allow us to quickly process your mortgage application. All information will remain strictly confidential. There is no obligation or commitment by submitting this form and will be used to verify your credit rating.

I want to consolidate all my debt by using the equity in my current home. (This is a refinance)
I want to purchase my first home with at least 5% down. (Gifted or borrowed down payments are allowed)
I want to lower my monthly mortgage payments and lock into a better rate. (May be subject to penalties with your existing lender)
I am currently selling my existing home and looking to mortgage a new home. (Please fax me a copy of your offer to purchase, MLS)
I am buying an investment property with at least 20% down to avoid CMHC or Genworth Mortgage Default Insurance.
I am buying an investment property with 5% down. (No gifted down payments or borrowed funds allowed)
I want to buy a home with a borrowed down payment.
Other, please explain

 2.  GENERAL INFORMATION
Borrower's Information
First Name
Middle Initial
Last Name
D.O.B.               Day
                       Month
                          Year
S.I.N.(MANDATORY)
Marital Status
Dependents
Current Address
Home Phone
Do you rent? Yes    No
Monthly rental payment
City
Province
Postal Code
Years There
Previous Address
City
Province
Postal code
Years There
E-mail Address*
Home Email
Living As
   
Employment Information
Current Occupation
Current Employer
Work Phone Ext.
Gross Yearly Income
Years There
Current Employer Address
Basis for Income
Previous Occupation
Previous Employer
Previous Employer Address
Previous Employer Phone
Gross Yearly Income
Years There
   
Self Employment Information
Self Employed for 2+ years? Yes    No
Job Description
Business Name
Business Type - Corporation, Sole Proprietor, Partnership, etc.
Business Gross Revenue
Business Net Income
Personal Income - last 2 years Notice of Assessments for average income = add both years together and divide by 2 for average
Business Accountant
   
Co-Borrower's Information
First Name
Middle Initial
Last Name
D.O.B.                Day
                       Month
                          Year
S.I.N.(MANDATORY)
Relation to CO-Applicant
Dependents
Current Address
Home Phone
Do you rent? Yes    No
Monthly rental payment
City
Province
Postal Code
Years There
Previous Address
City
Province
Postal code
Years There
E-mail Address
Home Email
Living As
   
Employment Information
Current Occupation
Current Employer
Work Phone Ext.
Gross Yearly Income
Years There
Current Employer Address
Basis for Income
Previous Occupation
Previous Employer
Previous Employer Address
Previous Employer Phone
Gross Yearly Income
Years There
   
Self Employment Information
Self Employed for 2+ years? Yes    No
Job Description
Business Name
Business Type - Corporation, Sole Proprietor, Partnership, etc.
Business Gross Revenue
Business Net Income
Personal Income - last 2 years Notice of Assessments for average income = add both years together and divide by 2 for average
Business Accountant
   
 3.  FINANCIAL AND PROPERTY INFORMATION
Details of Mortgage Loan & Property Information for Purchases and Refinances
Purchase Price or Property Value $ Equity (if refiancing) or Down payment (if buying) $
Annual Property Taxes $ Original purchase price (if refinancing) $
Date purchased? (approx. if refinancing)
Address of Property
   
Property Details  
Kind of Residence Condo
If Detached Garage Size
Heat Garage
Property Age Lot Dimensions
Square Footage Number of Rooms
Fireplace Yes    No Number of Bedrooms
Bathrooms Half Baths
   
 4.  FIRST AND SECOND MORTGAGE INFORMATION FOR REFINANCING OR EQUITY TAKE OUTS
First Mortgage information on Existing Property
Mortgage Lender (held by)
Mortgage #
Balance $
Rate %
Monthly Payment $
Maturity Date
Property Address
   
Second Mortgage information on Existing Property
Mortgage Lender (held by)
Mortgage #
Balance $
Rate %
Monthly Payment $
Maturity Date
Property Address
   
 5.  LIABILITIES AND ASSET INFORMATION
Assets
First Vehicle type/value
Second Vehicle type/value
RRSPs $
Stocks/Bonds $
Cash/Savings $
Other $
Primary Personal Bank(s)
Other sources of income? explain
   
Liabilities
If Divorced or Separated
Monthly Spousal Support $
Monthly Child Support $
Other $
Other Rental Property Owned
Value of Property $
Outstanding Mortgage Amount $
Montly PIT Payment $
   
 6.  OTHER INFORMATION
Are you currently a co-signor on another loan? Yes    No
Do you currently guarantee a business loan? Yes    No
Are you non-Canadian looking to purchase in Canada?
Yes    No
Country of Citizenship
First Time Homebuyer? Yes    No
Is this an investment purchase? Yes    No
Who referred you to me? (I like to send a thank you to the person who referred my business to you)
 
 7.  COMMENTS

Please provide any additional information that you may think is necessary.

By submitting this form , I/WE CERTIFY THAT all of the answers above are correct and complete. I authorize Nikki Harrison of The Mortgage Group to obtain a credit report on me/us and in so doing acknowledge you may be giving others the above information. You are not responsible for any failure, omission or mistake in seeking financing for me/us. **REMEMBER ALL APPLICATIONS WILL BE RESPONDED TO VIA THE EMAIL ADDRESS PROVIDED ON THIS APPLICATION. PLEASE ENSURE THAT THE ADDRESS YOU PROVIDE IS ONE YOU CAN ACCESS FROM BOTH HOME AND WORK.