Red Carpet Mortgage Inquires

1. Personal Information

First Name

Last Name

D.O.B.(dd/mm/yy)

S.S.N.

Marital Status

Dependents

E-mail Address

Home Phone

Residential Status

Current Occupation

Current Employer

Work Phone

Gross Yearly Income $

Years There

Current Employer Address

Type of Income

Previous Work

Previous Occupation

Previous Employer

Gross Yearly Income $

Years There

Current Address

Address

City

State

Zip code

Years There

Previous Address

Address

City

State

Zip code

Years There

2. Co-Applicant Information

First Name

Last Name

D.O.B.(dd/mm/yy)

S.I.N.

Relation to Co-Applicant

Current Occupation

Current Employer

Work Phone

Gross Yearly Income $

Years There

Current Employer Address

Type of Income

Previous Work

Previous Occupation

Previous Employer

Gross Yearly Income $

Years There

3. Details of Mortgage Loan

I am applying for a mortgage.

How much of a loan
do you need?

Monthly property taxes?

Current value of your home?

Date purchased? (Approx.)

Original purchase price? (Approx.)

4. Details of First Mortgage

Mortgage Lender (held by)

Mortgage

Mortgage Number $

Balance $

Rate %

Mthy Paymnt $

Maturity Date $

Property Address

5. Details of Second Mortgage

Mortgage Lender (held by)

Mortgage

Mortgage Number $

Balance $

Rate %

Mthy Paymnt $

Maturity Date $

Property Address

6. Liabilities

Enter total outstanding
balances:

Credit Cards

Loans/Lines of Credit

Enter total monthly
payments:

Car Payments

Alimony/Support/Other

7. Assets

Vehicle 1 (Year, Make, Model)

Vehicle 2 (Year, Make, Model)

Name of your bank(s)

RRSPs

Stocks/Bonds

Cash/Savings

8. Property Information

Dwelling Type

Dwelling Style

Tenure

Garage Size

Heating Type

Garage Type

Property Age

Square Footage

Lot Size

9. Comments

(Provide any additional information which could help us to approve your loan.)

10. Form Submission

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By submitting this online application, you hereby authorize Red Carpet® to obtain a credit report, make any necessary inquiries regarding your mortgage application and release this information to any lenders who may be interested in providing funds on your behalf.

Red Carpet Mortgage Inquires

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