SRS Mortgages & Lending Corp.

Mortgages

About SRS

Mortgage Application

Fill out our Online Application below and get started with financing you're home purchase. Our online mortgage application is fully encrypted to ensure your personal information is protected.

Required fields are indicated with a red asterisk *

One of our mortgage professionals will contact you shortly after receiving your application.

Applicant

First Name*

Middle Initial

Last Name*

Date Of Birth*

Social Insurance Number*

Marital Status*

Number of Dependants

Co-Applicant

Co-Applicant First Name

Middle Initial

Co-Applicant Last Name

Date Of Birth

Social Insurance Number

Marital Status

Number of Dependants

Current Address

Street Address*

City*

Province*

Postal Code*

Time at Address*

Monthly Mortgage / Rent Amount*
$

Previous Address (if current address less than 3 years)

Contact Information

Home Phone*

Work Phone

Email Address

Employment

Employer*

Employer Phone*

Job Title / Occupation*

Employer Address*

Time with Employer*

Monthly Gross Income*
$

Previous Employer (If current job less than 2 years)

Previous Employer Phone

Co-Applicant Employment

Employer

Employer Phone

Job Title / Occupation

Employer Address

Time with Employer

Monthly Gross Income
$

Previous Employer (If current job less than 2 years)

Previous Employer Phone

Other Income

Other Income Sources

Other Monthly Gross Income
$

Assets

	Applicant	Co-Applicant
Savings
RRSP Balance
Vehicle Value
Other Real Estate
Other

Liabilities

	Applicant	Co-Applicant
Mortgage
Credit Cards
Bank Loan
Auto Loan
Other

Mortgage Information

Purchase Price / Market Value
Down Payment / Equity

Terms & Conditions

Acknowledgement by Applicant(s) and consent to Credit Check.

I/We hereby certify that the information given in my/our mortgage application is complete, correct and is given for the purpose of obtaining the mortgage loan and/or financial services applied for.

I/We authorize the receipt and exchange of information about me/us with your affiliates from time to time as you deem appropriate and to the sharing or exchange of reports and information with the credit reporting agencies, credit bureaus, mortgage insurers, and/or any other person, corporation, firm or enterprise with whom I/we have or propose to have a financial relationship.

By clicking Submit Application, I/We agree to the terms & conditions above.