ApplicantsMortgage InformationDocumentsConsentMain Applicant InformationFirst Name *Last Name *Date of Birth *0102030405060708091011120102030405060708091011121314151617181920212223242526272829303132212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924SIN *Dependants Number of dependentsMarital Status *---CHOOSE ONE------CHOOSE ONE---SingleMarriedCommon LawSeparatedWidowedDivorcedotherEmail EmailConfirm EmailCell Phone Number *Home Phone Number Business Phone Number Crrent Address *AddressCityProvincePostal CodeCanadaCountryNumber of years at current address *Previous Address AddressCityProvincePostal CodeCanadaCountryNumber of years at previous address *Employment Status *EmployedSelf-EmployedRetiredUnemployedGovernment AssistanceCompany Name Occupation Number of years at Current Employment Annual Income Amount Is your business registered? YESNOIndustry/Occupation Number of Years of Operation Annual Income Amount Types of Pensions (choose all that apply) CPPOASWorkplace PensionRRSPNumber of years Total Annual Income Amount List below type of income received (if applicable) Number of years Annual Income Amount List below type of assistance received from the government Number of years Annual Income Amount Previous Employment Status EmployedSelf-EmployedUnemployedGovernment AssistanceCompany Name of Previous Employer Occupation Number of years at Previous Employer Annual Income Amount Was your business registered? YESNOIndustry/Occupation Number of Years of Operation Annual Income Amount List below Type of Income Received (if applicabple) Annual Income Amount List Below Type of Assistance Received from the Government Annual Income Amount Additional Income Type Annual Gross Income Amount Is someone else on title of the property? *---CHOOSE ONE---YESNOCo-Applicant InformationFirst Name *Last Name *Date of Birth *0102030405060708091011120102030405060708091011121314151617181920212223242526272829303132212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924SIN *Marital status SingleMarriedCommon LawSeparatedWidowedDivorcedOtherDependents Email Cell Phone *Home Phone Number Business Phone Number Current Address AddressCityProvincePostal CodeCanadaCountryNumber of years at current address Previous Address AddressCityProvincePostal CodeCanadaCountryNumber of year at previous address Employment Status EmployedSelf-EmployedRetiredUnemployedGovernment AssistanceCompany Name Occupation Number of years at Current Employment Annual Income Amount Is your business registered? YESNOIndustry/Occupation Numbers of Years of Operation Annual Income Amount Types of Pensions (choose all that apply) CPPOASWorkplace PensionRRSPNumber of years Total Annual Income List below type of income received (if applicable) Number of years Annual Income amount List below type of assistance received from the government Number of years Annual Income Amount Previous Employment Status EmployedSelf-EmployedUnemployedGovernment AssistanceCompany Name of Previous Employer Occupation Number of years at Previous Employer Annual Income Was your business registered? YESNOIndustry/Occupation Number of Years of Operation Annual Income Amount List below type of income received Number of Years Total Annual Income Amount List below type of assistance received from the government Number of Years Total Annual Income Amount Application Purpose *PurchaseRefinanceMunicipal Address *AddressCityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon TerritoryProvincePostal CodeCanadaCountryEstimated Property Value Do you have Purchase And Sale Agreement? YESNOPurchase Price Downpayment Amount Existing Mortgages InformationPick all applicable current Registrations on the property *First MortgageSecond MortgageThird MortgageNO MortgageLender/Institution Name (1st mortgage) Interest Rate Remaining Balance Maturity Date 2124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519240102030405060708091011120102030405060708091011121314151617181920212223242526272829303132Payment Amount Payment Frequency MonthlyBi-weeklySemi-monthlyWeeklyLender/Institution (2nd mortgage) Interest Rate Remaining Balance Marurity Date Payment Amount Payment Frequency MonthlyBi-weeklySemi-monthlyWeeklyLender/Institution (3rd mortgage) Interest Rate Remaining Balance Maturity Date Payment Amount Payment Frequency MonthlyBi-weeklySemi-monthlyWeeklyDocumentsPlease Upload all the documents that you currently have and you can send the rest of requested documents via email.Government Photo ID for all applicants (Passport, Drivers Licence, Photo Card) Drop your file here or click here to upload You can upload up to 8 files. Secondary Identification for all applicants (Any additional photo ID, Credit Card, Birth Certificate, SIN, Citizenship) Drop your file here or click here to upload You can upload up to 8 files. Income Documents (pay stub/employment letter/T4) Drop your file here or click here to upload You can upload up to 10 files. Home Insurance Documents Drop your file here or click here to upload You can upload up to 10 files. Property Tax Statement Drop your file here or click here to upload You can upload up to 10 files. Mortgage Statement Drop your file here or click here to upload You can upload up to 10 files. Privacy Policy *I/We warrant and confirm that the information given in the mortgage application form is true and correct and I/We understand that it is being used to determine my/our credit responsibility. Lexon Mortgages Plus/ Enrich Mortgage Group/ DLC Producers West Financial/ Mortgage Outlet Inc. is authorized to obtain any information you may require relative to this application from any sources to which you may apply and each such source is hereby authorized to provide you with such information. Lexon Mortgages Plus/ Enrich Mortgage Group/ DLC Producers West Financial/ Mortgage Outlet Inc. is furthermore authorized to disclose, in response to direct inquiries from any other lender or credit bureau, such information on my loaning accounts as you consider appropriate, and I agree to indemnify Lexon Mortgages Plus/ Enrich Mortgage Group/ DLC Producers West Financial/ Mortgage Outlet Inc. against and save you harm from any and all claims in damages or otherwise arising from such disclosure on your part. Lexon Mortgages Plus/ Enrich Mortgage Group/ DLC Producers West Financial/ Mortgage Outlet Inc. is also authorized to retain the application whether or not the relative mortgage is approved. I allow this website to collect and store the submitted data.Main Applicant Signature * Date 2124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519240102030405060708091011120102030405060708091011121314151617181920212223242526272829303132Co-Applicant Signature * Date 2124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519240102030405060708091011120102030405060708091011121314151617181920212223242526272829303132EmailPreviousNextSubmit
