QUICK APPLICATION

LNX Mortgage Application - Step 1 of 9

Referral Source? *

Full Name *

First

Last

Date of Birth *//

SIN Number *

Phone *

Email *

Current Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Years Living at Current Address? *

Previous Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Place of Work *

Job Title *

Employment Phone Number *

Start Date *//

Yearly Income *

Work Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Current Address - Applicant Two *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Years Living at Current Address? - Applicant Two *

Previous Address - Applicant Two *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Work Address - Applicant Two *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

First Time Home Buyer? *

Purpose of Mortgage *

Estimated Property Value

Estimated Loan Amount

Property to be Mortgaged *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Assets? *

Savings, RRSPs, TFSAs, Stocks, Vehicles, Household Goods, Cash.

If you are purchasing, where is the downpayment coming from? *

Savings, RRSP/TFSA, Parents, Sale of Home.

Questions? Notes? Special Requirements?

Name