Trusterra Mortgage^®

Mortgage Application Form

Financial Information

Other Income Sources

Assets

Value of Household Items ($):

Liabilities (Loans, Credit Cards, etc.)

Properties Owned by Applicant(s)

Summary of Financials

Total Monthly Income ($):

Total Assets ($):

Total Monthly Liabilities ($):

Total Outstanding Liabilities ($):

Subject Property Details

Unit Number:

Street Number *

Street Name *

Street Type *

City *

Province *

Postal Code (X1X 1X1) *

Estimated Property Value in the case of a refinance or renewal ($)

If refinance or renewing, what was the original property value when you first purchased it ($)

If refinance or renewing, what was the original purchase date

Annual Property Tax ($)

Annual Property Tax Year

Monthly Rental Income (if applicable) ($)

Is property listed on the MLS? *

Yes No

Construction Type

Property Type

Tenure

Water Info

Square Footage of the property (Sq Ft)

Lot size

Heating Source

Number of Units

Building Style

Age (Years)

Garage Size

Garage Type

Sewage Info

Is this a Condo? *