Please Select An Agent:
Jeff DillonMitch ThibodeauI don't have an agent
What did you each earn in gross income last year?
What will you each earn in gross income this year?
Note: If commissioned or self employed, we average your last two years of earnings. Please forward copies of
your last two years Notice of Assessments from Revenue Canada.
List of Assets and Approximate Value
Any other assets not classified above? Such as a Gift to come from a relative?
Do you own your home? If yes, when was it purchased and for how much?
Please comment here as to what you intend to use for your down payment and how much. (If this is a house purchase)
Address of house to be purchased. (If a purchase)
Do you have a Real Estate Listing for this house? (If a new purchase)
If yes, please forward a copy to this office
List approximate balance, payment amount, and name of company.
How much is your current rent?
(Please note if you have more than one Mortgage, please attach a list with the property address and Mortgage information below)
By submitting this Electronic Application, I/we declare the above information to be a true and accurate representation of our financial position. I/we authorize Blackburn Financial Services Inc. operating as The Mortgage Professionals to obtain a Credit Report through Equifax Canada and I/we authorize you to exchange credit information and other information as required for the purpose of securing a Mortgage Commitment. Blackburn Financial Services Inc. is a registered Mortgage Broker (1954) through the Ontario Ministry of Financial Institutions.
Any additional comments or questions you may have please provide below: