Mortgage Application-Home Trust Form Page 2
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1
2Mortgage Application
TELL US ABOUT YOUR MORTGAGES, ASSETS, AND LIABILITIES
1ST MORTGAGE LENDER
MONTHLY PAYMENT BALANCE
MATURITY DATE
% INT RATE
(INSTITUTION NAME & PHONE NUMBER)
(MM/DD/YY)
/
/
$
$
2ND MORTGAGE LENDER, IF APPLICABLE
MONTHLY PAYMENT
BALANCE
MATURITY DATE
% INT RATE
(INSTITUTION NAME & PHONE NUMBER)
(MM/DD/YY)
$
$
/
/
DESCRIPTION
AMOUNT
OWING TO
INTEREST RATE
MONTHLY PAYMENT
BALANCE
VEHICLE #1 MAKE/MODEL/YEAR
CREDIT CARD
$
%
$
$
CREDIT CARD
VEHICLE #2 MAKE/MODEL/YEAR
%
$
$
$
OTHER REAL ESTATE
LINE OF CREDIT / LOAN
%
$
$
$
STOCKS / BONDS / CASH
LINE OF CREDIT / LOAN
$
%
$
$
OTHER DEBT
OTHER ASSETS
$
%
$
$
COMMENTS:
APPLICATION TERMS
I certify that the information given in this application is true and correct and I consent to the collection and
use of credit and personal information as set out below.
Personal Information: You may collect credit, identity and financially related information about me during the course
of my relationship with you from credit bureau, other financial institutions and references (“Information”). You may also
disclose Information to credit bureau, financial institutions, and to outside providers of mortgage services. You and those
parties may use Information to identify me, understand my needs and eligibility for this application and for other
services and to recommend and market particular products and services. You are also authorized to retain this
application whether or not the application is approved.
Information collected will be kept in a separate customer file managed by Home Trust Company at its offices in Toronto,
Ontario. I have a right to access this Information. I may obtain your privacy code, ask you to correct Information, or tell
you to stop using Information for any of these purposes at any time by calling you toll free at 1-866-817-7719 or by
sending a written request to: Corporate Compliance, 145 King Street West, Suite 2300, Toronto, Ontario, M5H 1J8.
Co-Applicant Consent: Where there is a Co-Applicant on this Account, you are each entitled to receive separate
disclosure documents and statements mailed or otherwise delivered to the address each of you designates. This includes
the initial cost of borrowing disclosure statement, each annual loan statement and any notice of change in payment
frequency, interest rate or other matters as well as renewal offers and notices (together called “Statements” in this
consent form). You will each receive in separate envelopes a copy of all Statements unless you consent to Home Trust
Company sending you only one copy.
You may choose to receive only one copy of Statements by initialling the box below:
We consent to one copy of Statements being sent to us at the mortgaged property address set out
Initial
in this Application or such new address as we at a later time may give to you.
Initial
You may by notice to us at any time alter this consent to thereafter have Statements sent to each Co-Applicant at the
address he or she provides. You may contact us for further information regarding this matter at 1-877-903-2133.
Québec: Je veux que cette demande ainsi que tous les documents rapportant au prêt hypothécaire soient rédigés en
anglais. I want this application and all other loan documentation in English.
I apply for a Home Trust Mortgage Account and agree to these terms.
Applicant
Co-Applicant
Signature ______________________________________ Date _______________ Signature ______________________________________ Date _______________
MTG-07/12/2010
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