Application for Pre-Approval

Please take a moment to tell us about yourself. This information will be kept private and destroyed if you do not proceed with using our services. Manhattan Mortgage Services adheres to all national privacy legislations. Please see our privacy policy at the bottom of the page for further details.

Personal Information

Applicant

First Name *

Last Name *

Email *

Primary Telephone *

Street Address

City

Province

Postal Code

Resident Status Rent
Own
Other

Date of Birth

Social Insurance Number

Co-Applicant

First Name

Last Name

Primary Telephone

Street Address

City

Province

Postal Code

Resident Status Rent
Own
Other

Date of Birth

Social Insurance Number

Employment Information

Applicant

Gross Annual Income

Type of Income

Co-Applicant

Gross Annual Income

Type of Income

Other Information

Have you spoken to any of our Mortgage agents before?

Agent's Name

Where did you hear about ManhattanMortgage.ca?

Any additional questions or comments?

Agreement

I/we warrant and confirm that the information given in the application form is true and correct and I/we understand that it is being used to determine my/our credit responsibility and to evaluate and respond to my/our request for financing. You are authorized to obtain any information you may require for these purposes from other sources (including for example, credit bureau) and other source is hereby authorized to provide you with such information. I/we also understand and agree that the information given in the application form as well as other information you obtain in relation to my credit history may be disclosed to potential lenders, insurers, other service providers, 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/we further acknowledge and agree that each potential lender, insurer or service provider to whom you provide the application and or my/our personal information is permitted to receive such application and information and maintain records relation to me/us and my/our mortgage application and to hold use communicate and disclose personal information about me/us, including my/our Social Insurance Number (SIN) if I/we provide it, and collect personal information from me/us, you and from third persons, including credit bureau, credit reporting and collection agencies, financial institutions, my/our past and present employers, creditors and tenants, my/our spouse or any other person who has information about me/us for the purposes of recording, evaluatir,g, and responding to my/our application for mortgage financing or related activities and l/we specifically consent to the release and disclosure of personal information by such persons to and among you and each potential mortgage lender, mortgage insurer or other service provider.

I agree to the terms *

Application for Pre-Approval

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