Mortgage Application

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Quick Application Form

Ad/Mar Mortgage Brokers Ltd.
License Number #10777
5 Island Lake Road, Orangeville, ON L9W 5K6
Tel: (416)-992-3510 | Tel: (519)-940-3611 | Email:

* indicates a required field to be filled out

Applicant Details

Applicant Address Information

Applicant Employment Details

Co-Applicant Details

Co-Applicant Address Information

Co-Applicant Employment Details

Financial Information (Assets)

Real Estate
Deposit on Property Purchase
Stocks, Bonds, Mutual Funds
Other Assets
Total Assets

Financial Information (Liabilities)

Bank Loans
Credit Cards
Car Loans
Amount owing on 1st Mortgage
Other Loans
Total Liabilities

Additional Comments


By checking off the "Agreement To Terms Checkbox below (a), I affirm that all information given above is true and complete (b) consent Ad/Mar Mortgage Brokers Ltd. (herein called the "Bank") obtaining credit information from any credit reporting agency or credit grantor or any other source by lawful means and (c) consent to the (i) use of the information herein disclosed or hereafter collected by the Bank and its subsidiaries in connection with the granting administering and collecting of credit granted by the Bank to me and in connection with offering the products and services of the Bank and it agrees to extend credit to me by accepting an assignment of a Mortgage Agreement signed by me or my co-applicant the Bank will not make an application for insurance on my life under such Contract or for any other form of insurance. If I have given the Bank my Social Insurance number the Bank may use it as an aid to identify me with credit reporting agencies, credit grantors and any other parties

Please read the paragraph above prior to sending completed application. By transmitting the online mortgage application you are accepting the terms of the paragraph noted above.

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