Prime Mortgage and Financial Group
Nova Scotia Mortgages
Randy Hussey Randy Hussey
randy.hussey@migroup.ca
Phone: 902-798-6424
Fax: 902-798-8304

Apply Now

To apply for a loan of your choice, please fill in the online application form. The detailed form will let me assess your financial situation and help come up with the best mortgage solution for your needs.

Mortgage Details

Purpose/Type of Loan:* Value of Home:*    
Mortgage Amount Required:*     Funds Required On:
Down Payment:   Credit Confirmation:
Do you have a real estate agent?:

Primary Applicant

Personal Information
First Name:*   Last Name:
Email:*   Marital Status:
S.I.N: Age:
Date of Birth: Phone Number:*  
Address Info
Present Address: City/Town:
Province: Postal Code:
Residential Status: Mortgage Payment/Rent:  
How Long at Present Address:
Previous Address
Employment Information
Current Employer: Position:
Occupation Type: Industry Sector:
How Long at Present Employment: (Years) Phone:
Monthly Income:   Employer Address:
Years in Line of Business: Type of Income:
Other Income Source: Other Income Amount:  

Co-Applicant

Personal Information
First Name: Last Name:
Marital Status: S.I.N:
Phone: Age:
Date of Birth:
Address Info
Present Address: City/Town:
Province: Postal Code:
How Long at Present Address:
Previous Address
Employment Information
Employer: Position:
Occupation Type: Industry Sector:
How Long at Present Employment: (Years) Monthly Income:  
Phone: Employer Address:
Years in Line of Business: Type of Income:
Other Income Source: Other Income Amount:  

Property Information

Unit #: Street
City Province:
Postal Code: Property Age:
Type: Dwelling Style:
Livable Area:   Units:
Lot: Width:  X  Depth:  Units:
Garage Type: Garage Size:
Estimated Property Taxes:   Estimated Monthly Heating:  
Estimated Monthly Condo Fees:   Occupied By:

Financial Information

Assets
Type Where/Financial Institution(s) Amount / Value
Cash Savings

Cash in Bank

Supply the Bank and branch of your main bank account. Add the total of all your bank accounts together for the Amount/Value box.

  Cash in Bank
Deposit on property being purchased (if applicable)  

Deposit on Property

If you have made an offer for a house, this is the amount you included with the offer. This is not the down payment amount.

Deposit on Property
Automobile Present Value  

Automobile Present Value

Include year, make and model as space permits. Add the total value of all your cars together.

Automobile Present Value
Value of Present Home (if owned)  

Value of Present Home

Location; value of current residence.

Value of Present Home
Stocks, Bonds, Mutual funds etc.  

Stocks, Bonds, Mutual funds

(Eg. Stocks 20%, Mutual Funds 30%, Bonds 50%). Add together to show total value.

Stocks, Bonds, Mutual funds
RRSP's  

RRSP's

List institutions (or self directed) and add together for total value.

RRSP's
Others  

Others

Household goods, art collections, etc.

Others
Total Amount:
Liabilities
Type Where/Financial Institution(s) Balance Owing Monthly Payment Help
Debts / Loans    

Debts / Loans

Name lenders (as space permits); provide combined balances and payments. Exclude car loans and credit cards.

Debts / Loans
Credit Cards    

Credit Cards

Name credit card issuers/types (Royal Visa, National Bank M/C, Shell, Amex, etc.). Provide the combined balances and the combined minimum monthly payments.

Credit Cards
Owing on Automobile    

Owing on Automobile

Name car loan lender(s); provide combined balances and combined monthly payments. If a leased vehicle, enter only the lease payment and omit "amount owing"..

Owing on Automobile
Amount owing on current mortgage(s) - 1    

Amount owing on current mortgage(s) - 1

Briefly name the mortgage priority (1st, 2nd etc) of the main mortgage; the mortgage lender's name; property (if other than principal resident); and provide the balance and payment (principal and interest portion only).

Amount owing on current mortgage(s)
Amount owing on current mortgage(s) - 2    

Amount Owing on Current Mortgage(s)

Briefly name the mortgage priority (1st, 2nd etc); the mortgage lender's name; the property (if other than principal residence); and provide the balance and payment (principal and interest portion only).

Combine balances and payments together here, if necessary.

Amount Owing on Current Mortgage(s)
No. of Current Mortgage(s)

No. of Current Mortgage(s)

Please enter the mortgage reference number(s) assigned to your file by your current lender(s), if readily available. You will probably find it on any mortgage renewal forms, annual statements, or other correspondence from them.

No. of Current Mortgage(s
Finance company loans and other debts    

Finance company loans and other debts

Supply the Bank and branch of your main bank account. Add the total of all your bank accounts together for the Amount/Value box.

Finance company loans and other debts
Alimony / Child Support  

Alimony / Child Support

Enter gross monthly payment only.

Alimony / Child Support
Total:
Net Worth (Total Assets - Total Liabilities):  

Additional Comments


Privacy Statement

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. Online Applications Please read the paragraph above prior to sending completed application.

By transmitting the online mortgage application you are accepting the terms of the paragraph noted above.

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