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: admarmortgage@rogers.com

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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 to the best of my knowledge, all information given is true and complete.
We consent {b} "The Brokerage { Ad\Mar Mortgage Brokers Ltd.} and/or lender will obtain Information and reports about the Potential Borrower from credit reporting agencies and other lenders at the time of the Potential Borrower's application and any time during the application and on an ongoing basis to review and verify the Potential Borrower's creditworthiness and/or establish credit and hold limits. The Potential Borrower may choose not to have Brokerage or lender conduct a credit check in order to assess an application for credit. The Potential Borrower agrees that a mortgage default insurer may obtain Information about the Potential Borrower from a credit reporting agency from time to time, and may use such Information for any purpose related to the mortgage default insurance. The Potential Borrower agrees that the approval or granting of any mortgage by the lender to the Potential Borrower, with or without mortgage default insurance, is not to be construed or relied on by the Potential Borrower as representing the value or condition of any underlying security or that it confirms that the Potential Borrower has the ability to repay the mortgage debt.

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.