Phone: 416 602 7514
Fax: 416 619 0668

Our online mortgage application uses 128-bit encryption for transmission of data between your web browser and our web server, which provides the highest level of protection.
Only encrypted data will be send to us. Please print your completed form if you would like a copy for your records.
You can also print and fax completed application form to us CLICK HERE to open printer friendly pdf format. Click here to download Adobe Reader8.

* Required fields.

Apply with Ketha Sivapiragasam

905 791 4207

Applicant Information

Co-Applicant Information

*First Name	*Last Name	SIN	*Date of Birth

*Unit	*Street	*City	*Postal Code

*Province	*Phone	Dependents	Years

Status	If Rent $	*E-mail

First Name	Last Name	SIN	Date of Birth

Unit	Street	City	Postal Code

Province	Phone	Dependents	Years

Status	If Rent $

Applicant Employment Information

Co-Applicant Employment Information

Employer	Street	Unit

City	Phone Number

Province	Postal Code

Occupation	Industry	Years in Industry

Years at Work	Type of Income	Gross Income

Employer	Street	Unit

City	Phone Number

Province	Postal Code

Occupation	Industry	Years in Industry

Years at Work	Type of Income	Gross Income

Financial Information

Bank 1	Years	Balance	Bank 2	Years	Balance	RRSP Value	Car Value

Stocks Value	Other Inv.	# of Properties	Rental Income	Other Income	Card Debt	Loan Debt	Lease Debt	Other Debt

Property & Loan Details

Mortgage Type/Purpose

Unit Address Street	City	Province	Postal Code

Zoning	Legal Description	Age of Property	Livable Area Sq.Ft.	Lot Size Sq.Ft.

Garage Type	Garage Size	Heating Type	Property Type	Dwelling Style

Purchase Details

Current Mortgage

Purchase Price
Desired Term
Source of Down Payment
Amount of Down Payment
Closing Date
Property Taxes
Maintenance Fees

Held By
Date of Purchase
Maturity Date
Initial Price
Initial Amount
Payment Amount
Outstanding Amount

Mortgage Rate
Payment Type
Mortgage Type
Market Value
Date of Appraisal
Purpose of Refinance
Refinance Takeout Amount

Information Release, Client-Representative Agreement:

Information Release Agreement:

I/we warrant and confirm that the information given in the mortgage application form is true and correct and I/we understand that it is being used to determine my/our credit responsibility. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureau) and each such source is hereby authorized to provide you with such information. I/we also understand that the information given in the mortgage application form as well as other information you obtain in relation to my credit history may be disclosed to potential mortgage lenders, financial intermediary and mortgage insurers, organizations providing technological or other support services required in relation to this application and any other parties with whom I/we propose to have a financial relationship.

I can:
review and correct personal Information In My File or held by My Independent Consultant; get MortgageBrokers Privacy Policy from My Independent Consultant or at: www.firstswissmortgage.com Other: My Independent Consultant is not an employee of MortgageBrokers.com INc: I can obtain My Independent Consultant's Privacy Policy from My Independent Consultant; MortgageBrokers.com and My Independent Consultant may receive fees from each lender or Affiliate, and may receive a program fee from the lender which varies with the mortgage interest rate and terms accepted by me. Fees and program fees may be money, or goods and services having value to the recipient; Different lenders or Affiliates may provide MortgageBrokers.com Inc Mortgage and My Independent Consultant with different fees and incentives for similar products. A Lender's fees and incentives may also be dependent on amounts and types of business originated through First Swiss Mortgage and My Independent Consultant; and Each person signing below agrees that in this document "I","me" and "my" refer to each of us.

Client-Representative Agreement:

I/We are clients of each of MortgageBrokers.com Inc and of My Independent Consultant for these purposes: arranging and/or renewing loan(s) / mortgage(s) and maintaining my client relationship, and considering products approved by MortgageBrokers.com Inc or its affiliates that may interest me/us, (client can delete this)and I consent and agree that for these purposes: MortgageBrokers.com INc may use my personal information and may: obtain personal Information about me from consumer reporting agencies, credit bureaus, and real estate appraisers, and (if more than one client) about either of us from the other, and provide my personal information to third parties (e.g. lenders); Each lender considering my applications from MortgageBrokers.com Inc may: obtain personal information about me from consumer reporting agencies, credit bureaus, and real estate appraisers, and (if more than one client) -about either of us from the other, and ensure the accuracy of my personal information by contacting third parties; MortgageBrokers.com Inc and these lenders may: retain my personal information for seven years after the last loan/mortgage application made on my behalf, or the end of (he term of the loan/mortgage,whichever is later; My Independent Consultant may retain and use my personal information for the purposes listed above for seven years after the last loan/mortgage application made on my/our behalf; My MortgageBrokers.com Inc File holding my personal information ("My File"): is kept physically at the office of My Independent Consultant until a loan/mortgage is funded, after which it is sent to a MortgageBrokers.com Inc or licensed office for review and storage, and electronically on MortgageBrokers.com Inc computer systems; and has access restricted to individuals having a need to deal with the File;

  *I/We,
  Read, understand and agree to terms and conditions.

  *    Agree to Terms & Conditions



Message to the agent:

Online Marketing by CLSENTERPRISES

* Toronto Mortgages Brokers * Toronto, Ontario, Canada, www.theswissmortgage.com Mortgages Brokers in Toronto * www.theswissmortgage.com * MortgagesBrokers.Com Inc All Broker Rights Reserved. *