Application Form – Full

Applicant Information

Co-Applicant Information

Current Assets

Current Mortgages/Properties Owned

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. I/We authorize Dominion Lending Centres Hilltop Financial to obtain and/or exchange personal information with any personal information agent towards establishing or verifing my financial standing. You are furthermore authorized to disclose, in response to direct enquiries from any other lender or credit bureau, such information on my loaning account as you consider appropriate, and I agree to indemnify you against and save you harm from any and all claims in damages or otherwise arising from such disclosure on your part. You are also authorized to retain the application whether or not the relative mortgage is approved.