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Print form, and fax completed form to (905)883-8887
For more information, call (416)837-7828		 Loan Application  
1. Applicant Co-applicant
Name Mr/Mrs/Ms
Date of Birth
YYYY MM DD
Address  
Apt#
City Prov. P.Code
Years at Address  
Renter/Owner
       Renter  ($ /month)        Owner
Phone
Home Work
Name Mr/Mrs/Ms
Date of Birth
YYYY MM DD
Address  
Apt#
City Prov. P.Code
Years at Address  
Renter/Owner
       Renter  ($ /month)        Owner
Phone
Home Work
Current Employment
Employer  
Position  
Salary   Years with Employer  
Employer  
Position  
Salary   Years with Employer  
Previous Employment(if less than 3 years at current employment)
Employer  
Position  
Salary   Years with Employer  
Employer  
Position  
Salary   Years with Employer  
2. Assets Liabilities
  Bank Name Value
Cash    
RRSP    
Stocks/Mut.Funds    
Real Estate    
Car    
Car    
Other    
  Bank Name Balance Monthly Payment
Bank Loan      
Credit Card      
Credit Card      
Mortgage      
Credit Line      
Car Loan/Lease      
       
3. Mortgage and Property Details             First Mortgage           Second Mortgage           Re-finance           Pre-approval           Other
Type:       Detached        Semi-detached        Townhouse        Condo(Fee:               )        Other
Size: sq.ft  
Garage Size:   0 / 1 / 2 / 3   -car
Purchase Price: Down Payment: First Time Buyer?        Yes      No
Mortgage Amount: Term:           year(s) Rate:          % Closing Date: Commitment Period:
Property Address:
  City: Prov: Postal Code: Property Tax:
4. Consent
I/We hereby certify that the information given above is correct. It is understood that the evaluation fees, inspection fees and legal expenses incidental to this application will be paid by me/us. I/We have not been refused a loan on any of the above securities and, (if applicable)am/are not in arrears on my/our present mortgage. I/We hereby agree that the finder's fee for the loan contemplated herein may be obtained from the lender and that such finder's fee is earned by Asian Pacific Financial Services Consultants absolutely.
I/We authorize Asian Pacific Financial Services Consultants to obtain such factual investigative information regarding me/us from others as permitted by law, to furnish other consumer credit grantors and credit bureaus particulars of the credit application and subsequent credit experience, if applicable, and to retain this application for its records.

Date:


x____________________________________
Signature of Applicant		 x____________________________________
Signature of Co-applicant
Note: