Mortgage Preapproval Form

Tel: 416-238-2698 Valueland Mortgages
Toll Free: 1-877-479-9998 7800 Woodbine Ave., Suite 202

Fax: 1-877-479-9968 (Toll Free) Markham, ON. L3R 2N7
[email protected] http://www.valueland.ca/
Personal Information Applicant Co-Applicant

Salutation (Mr./Ms/Miss):
First Name Claire
Family Name Liu
S.I.N. # 657925947
Date of Birth March 29, 2001
Marital Status Single
Home Address 609 Kesagami Lane
City and Postal Code Ottawa, K4M 0L5
Ownership Status (pick one) Owned Rented ($ /mth) Live with Parents Other
How long at this address? 2 years
Home Phone N/A
Cell Phone 548-388-4839
Previous Home Address 157 Annapolis Circle, Ottawa, K1V 1Z2
Email [email protected]
Previous Employer (Company) Dayforce
Position (Job Title) Product Management Intern
Annual Income $57,000
Employer Address 4110 Yonge St
City & Postal Code North York, M2P 2B7
Work Phone N/A
Years with this company 1 year
Previous Employer (If current
employment is less than 3 years)
Previous Position & Annual
Salary
Years with this company
Number of Dependants Referrer/Agent:
Financial Information:
Assets Financial Amount $ Liabilities Total Monthly Payment
(what you have) Institution (What you owe) Amount
Cash in Bank ($) TD 92,484.12 Bank Loans ($) 0 0
RRSP ($) Questrade 1,000 Credit Cards ($) 0 0
Other (TFSA) ($) Questrade 18,611.57 Car loan/lease 0 0
Other (FHSA) TD 8,000
Other (GIC) TD 4,186
Properties you have:
Property Address Rental / Market Mortgage Monthly Lender Property Condo fee Rental income
Owner tax (monthly) (monthly)
Value amount Payment
Occupied (annual)
Page 1 of 2
Requested Mortgage:
Purchase Price Rate type (Fixed/Variable) Closing Date
Down Payment Interest Rate Amort. (Years)
Mortgage Amt ($) Term (Years) Payment Frequency
Source of Down Payments: (a) own savings; (b) gift; (c) own savings and gift; (d) sale of an existing property
Disclosure Statements from Valueland Mortgages:
(1) Valueland’s relationship with me/us the Applicants: Valueland Mortgages or its broker/agent/associates/sub-broker is acting as
an intermediary between the applicant(s) and the lender(s) who have authorized Valueland to offer their mortgage products to
borrowers. Valueland offers many mortgage products from multiple lenders.
(2) Broker/Brokerage Compensation: Valueland Mortgages is primarily compensated by way of commission/income or fee paid
by mortgage lenders. The brokerage may also receive other non-monetary benefits from lenders. In cases of a fee to be paid
by the borrower/applicant(s), a fee disclosure shall be given to me/us prior to my/our commitment of the mortgage.
Consent from Applicant(s):

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 and to evaluate and respond to my/our request for mortgage financing.
You, Valueland, are authorized to obtain any information you may require for these purposes from other sources (including, for
example, credit bureaux) and each source is hereby authorized to provide you with such information. I/we also understand,
acknowledge and agree 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, mortgage 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 acknowledge that I/we have reviewed and understand Valueland’s
disclosure statements.
I/we further acknowledge and agree that each potential mortgage lender, mortgage insurer or service provider to whom you
provide the mortgage application and/or my/our personal information is permitted to receive such application and information and
maintain records in 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 bureaux, credit reporting and collection agencies, financial institutions,
my/our past and present employers, creditors and landlords, my/our spouse or any other person who has information about me/us
for the purposes of recording, evaluating and responding to my/our application for mortgage financing or related activities and
I/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/we authorize the application through electronic
transmission.
☐ By checking this box, I/we authorize Valueland Mortgages and its agents/brokers to send electronic communications through
email addresses I/we have provided. I/we have the right to withdraw the consent at any given time.
Feb 7, 2024
Applicant Signature: _______________ Co-Applicant Signature: _______________ Date: _____________
Documents Required: 1) One recent pay stub and letter of employment for each applicant; 2) Copy of Photo ID (e.g.,
Driver’s License).
Page 2 of 2
Included:
- Pay stub from previous internship
- Offer letter of full time employment starting May 2024
- Driver’s License

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Tel: 416-238-2698 Valueland Mortgages

Toll Free: 1-877-479-9998 7800 Woodbine Ave., Suite 202

Personal Information Applicant Co-Applicant

Disclosure Statements from Valueland Mortgages:

Consent from Applicant(s):

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