ÿþ<HTML xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns="http://www.w3.org/TR/REC-html40"><HEAD><META http-equiv="Content-Type" content="text/html; charset=ISO-8859-1"> <META http-equiv="Content-Language" content="en-us"> <TITLE>CENTUM No Fee Mortgages and Loans Inc. - Pre-Approval Application Form</TITLE> <LINK href="./CENTUM No Fee Mortgages and Loans Inc. - Pre-Approval Application Form_files/main.css" rel="stylesheet" type="text/css"> </HEAD><BODY> <DIV align="center"> <TABLE border="0" width="620" id="table177" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD> <P align="center"> <IMG border="0" src="./CENTUM No Fee Mortgages and Loans Inc. - Pre-Approval Application Form_files/CENTUM_New_Logo_Fax_Form.jpg" width="328" height="100"></P> <DIV align="center"> <TABLE border="2" id="table178" cellspacing="1" cellpadding="0" bordercolor="#FFFF00"> <TBODY><TR> <TD> <INPUT type="button" name="cmdPring" value="Print Application" onclick="parent.print()"></TD> </TR> </TBODY></TABLE> </DIV> <P align="center">&nbsp;</P><P></P> <P align="center"><B><FONT size="3">Pre-Approval Application</FONT></B></P> <P align="center">&nbsp;</P> <P align="justify"><FONT size="2">Please fill in and sign the attached application as accurately and completely as possible and fax it to the fax number indicated below. Submitting an application through CENTUM No Fee Mortgages and Loans Inc. is free, and does not bind or obligate you in any way. Any questions or additional information you may have can be addressed personally when your mortgage consultant contacts you with an initial response on your best financing options.</FONT></P> <P>&nbsp;</P> <P align="center"><BR> <B><FONT size="3"> To: CENTUM No Fee Mortgages and Loans Inc.<BR><BR>FAX: (416) 744-7100</FONT></B><FONT size="3"> <BR> </FONT></P> <P>&nbsp;</P> <P>&nbsp;</P> <P>&nbsp;</P> <P align="justify"><BR> <BR> <FONT size="2">Note: This fax contains confidential and privileged information intended only for the addressee. Reading, copying, disseminating, or distributing this message is strictly prohibited unless you are the addressee. <FONT color="#0000FF">If you have received this fax in error, please fax the sender at the above number and then delete it.</FONT> Thank you.</FONT></P> <P align="justify"><FONT size="2">We appreciate your assistance in correcting this error. </FONT></P> <P align="justify">&nbsp;</P> <P align="justify">&nbsp;</P> <P align="center"><BR> CENTUM No Fee Mortgages and Loans Inc.<BR> #LL13, 2300 Sheppard Ave.W, Toronto, ON &nbsp; M9M 3A4<BR> Fax: (416) 744-7100 " Phone: (416) 745-5800 </P></TD> </TR> </TBODY></TABLE> </DIV> &nbsp;<BR clear="all" style="page-break-before:always"> <DIV> <DIV align="center"> <TABLE border="1" width="620" id="table113" cellspacing="0" cellpadding="0" bordercolor="#800000"> <TBODY><TR> <TD height="50%" valign="top" colspan="2"> <P align="center"> <FONT align="CENTER" size="2"><B> CENTUM No Fee Mortgages and Loans Inc. </B></FONT><B><FONT size="2">&nbsp; - MORTGAGE APPLICATION</FONT></B></P></TD> </TR> <TR> <TD height="50%" valign="top"> <TABLE cellspacing="0" cellpadding="0" border="0" id="table114" width="300"> <TBODY><TR> <TD> <!--APPLICANT 1______________________________//--> <TABLE cellspacing="0" cellpadding="0" border="0" id="table116"> <TBODY><TR> <TD> <TABLE border="0" id="table117" cellpadding="0"> <TBODY><TR> <TD bgcolor="#800000"> <P align="center"><B><FONT size="2" color="#FFFFFF"> Primary Borrower</FONT></B></P></TD> </TR> <TR> <TD>Title:<SPAN class="mandatory"></SPAN> <INPUT type="checkbox" name="C18" value="ON">Mr.&nbsp; <INPUT type="checkbox" name="C19" value="ON">Mrs.&nbsp; <INPUT type="checkbox" name="C20" value="ON">Ms.&nbsp;</TD> </TR> <TR> <TD><TABLE border="0" width="100%" id="table118" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="205">First Name:<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="28" name="BFirstName0" class="text"><BR> Last Name:<SPAN class="mandatory"></SPAN> <BR> <INPUT onchange="comaDel(this,20,1,0,0)" name="BLastName0" class="text" size="28"></TD> <TD valign="top">Initial:<BR> <INPUT onchange="comaDel(this,1,1,0,0)" size="3" name="BGivenName0" class="text"><P> &nbsp;</P></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD><SPAN class="apply">Address:<BR> </SPAN> <INPUT onchange="comaDel(this,25,0,0,0)" size="45" name="BAddress6" class="text"></TD> </TR> <TR> <TD width="632"> <TABLE border="0" width="100%" id="table119" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="147">City/Town:<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="22" name="BCurrentCity0" class="text"></TD> <TD width="52">Prov: <SPAN class="mandatory"> <BR> </SPAN> <INPUT onchange="comaDel(this,5,0,0,3)" size="1" name="BAddress7" class="text"></TD> <TD>Postal Code:<SPAN class="mandatory"><BR> </SPAN> <INPUT onblur="postDel(this,6,0,2,0)" onchange="comaDel(this,6,0,2,0)" size="11" name="BCurrentCode0" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table120" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="98">Date of Birth:<BR> <INPUT onchange="comaDel(this,8,0,0,3);chekDat(this,8);" size="15" name="BDOB0" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table156" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="147">Home Ph.#:<SPAN class="mandatory"></SPAN><BR> <INPUT onchange="comaDel(this,10,0,0,4)" size="19" name="BHomePhone" class="text"></TD> <TD>Work Ph.#:<BR> <INPUT onchange="comaDel(this,10,0,0,4)" size="18" name="BBusinessPhone" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD>Time spend at this address: <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="2" name="BLengthService3" class="text">Yrs. <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="2" name="BLengthService4" class="text">Mos.</TD> </TR> <TR> <TD>SIN#:<SPAN class="mandatory">&nbsp; <INPUT size="22" name="BBorrowerSIN0" class="text"></SPAN></TD> </TR> <TR> <TD>Marital Status:<BR> <INPUT type="checkbox" name="C22" value="ON">Single&nbsp; <INPUT type="checkbox" name="C23" value="ON">Married&nbsp; <INPUT type="checkbox" name="C24" value="ON">Widowed&nbsp; <BR> <INPUT type="checkbox" name="C25" value="ON">Separated&nbsp; <INPUT type="checkbox" name="C26" value="ON">Divorced&nbsp; <INPUT type="checkbox" name="C27" value="ON">Common Law</TD> </TR> <TR> <TD>Number of Dependents: <INPUT size="4" name="BAddress8" class="text"></TD> </TR> <TR> <TD>&nbsp;</TD> </TR> <TR> <TD><B><FONT size="2">Dwelling Status</FONT></B></TD> </TR> <TR> <TD>Residential Status:<BR> <INPUT type="checkbox" name="C30" value="ON">Rent/Lease&nbsp;&nbsp;&nbsp; Monthly Rent:<INPUT onchange="comaDel(this,8,0,0,3)" size="12" name="BLandlord0" class="text"><BR> <INPUT type="checkbox" name="C31" value="ON">Own&nbsp;&nbsp; <INPUT type="checkbox" name="C32" value="ON">Living with parents&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD> </TR> <TR> <TD height="15"> </TR> <TR> <TD><B><FONT size="2">Employment</FONT></B></TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table121" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD colspan="2">Current Employer:<BR> <INPUT onchange="comaDel(this,25,0,0,0)" size="40" name="BPresEmpName1" class="text"><BR> Job Description<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="40" name="Job5" class="text"></TD> </TR> <TR> <TD width="44%">Annual income:<BR> <INPUT onchange="comaDel(this,8,0,0,3)" size="17" name="BAnnualIncome1" class="text"></TD> <TD width="56%">Length of Employment:&nbsp; <BR> <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="17" name="BLengthService5" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD><B><FONT size="2">Income Type</FONT></B></TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table122" cellpadding="0" cellspacing="1"> <TBODY><TR> <TD> <INPUT type="checkbox" name="C33" value="ON">Salary</TD> <TD> <INPUT type="checkbox" name="C34" value="ON">Self-Employed</TD> <TD> <INPUT type="checkbox" name="C35" value="ON">Pensioner</TD> </TR> <TR> <TD> <INPUT type="checkbox" name="C36" value="ON">Alimony</TD> <TD> <INPUT type="checkbox" name="C37" value="ON">Commission</TD> <TD> <INPUT type="checkbox" name="C38" value="ON">Contract</TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table123" cellspacing="1" cellpadding="0"> <TBODY><TR> <TD width="144">Other Income Source:<BR> <INPUT maxlength="30" onchange="comaDel(this,30,1,0,0)" size="21" name="BOtherIncomeSource0" class="text"></TD> <TD>Additional income:<BR> <INPUT onchange="comaDel(this,8,0,0,3)" size="13" name="BAnnualIncome2" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD>&nbsp;</TD> </TR> <TR> <TD><B><FONT size="2">Previous Employment</FONT></B></TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table124" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD colspan="2">Previous Employer:<BR> <INPUT onchange="comaDel(this,25,0,0,0)" size="40" name="BPresEmpName5" class="text"><BR> Job Description<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="40" name="Job6" class="text"></TD> </TR> <TR> <TD width="44%">Annual income:<BR> <INPUT onchange="comaDel(this,8,0,0,3)" size="16" name="BAnnualIncome3" class="text"></TD> <TD width="56%">Length of Employment:&nbsp; <BR> <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="19" name="BLengthService6" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> </TBODY></TABLE> </TD> </TR> </TBODY></TABLE> <DIV> <DIV> <!-- Back & Next Buttons --></DIV> </DIV> </TD> </TR> </TBODY></TABLE> </TD> <TD height="50%" valign="top"> <TABLE cellspacing="0" cellpadding="0" border="0" id="table167"> <TBODY><TR> <TD> <TABLE border="0" id="table168" cellpadding="0"> <TBODY><TR> <TD bgcolor="#800000"> <P align="center"><B><FONT size="2" color="#FFFFFF"> Co-Borrower</FONT></B></P></TD> </TR> <TR> <TD>Title:<SPAN class="mandatory"></SPAN> <INPUT type="checkbox" name="C77" value="ON">Mr.&nbsp; <INPUT type="checkbox" name="C78" value="ON">Mrs.&nbsp; <INPUT type="checkbox" name="C79" value="ON">Ms.&nbsp;</TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table169" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="205">First Name:<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="28" name="BFirstName1" class="text"><BR> Last Name:<SPAN class="mandatory"></SPAN> <BR> <INPUT onchange="comaDel(this,20,1,0,0)" name="BLastName1" class="text" size="28"></TD> <TD valign="top">Initial:<BR> <INPUT onchange="comaDel(this,1,1,0,0)" size="3" name="BGivenName1" class="text"><P> &nbsp;</P></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD><SPAN class="apply">Address:<BR> </SPAN> <INPUT onchange="comaDel(this,25,0,0,0)" size="45" name="BAddress14" class="text"></TD> </TR> <TR> <TD width="632"> <TABLE border="0" width="100%" id="table170" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="147">City/Town:<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="22" name="BCurrentCity11" class="text"></TD> <TD width="52">Prov: <SPAN class="mandatory"> <BR> </SPAN> <INPUT onchange="comaDel(this,5,0,0,3)" size="1" name="BAddress15" class="text"></TD> <TD>Postal Code:<SPAN class="mandatory"><BR> </SPAN> <INPUT onblur="postDel(this,6,0,2,0)" onchange="comaDel(this,6,0,2,0)" size="11" name="BCurrentCode3" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table171" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="98">Date of Birth:<BR> <INPUT onchange="comaDel(this,8,0,0,3);chekDat(this,8);" size="15" name="BDOB1" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table172" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="147">Home Ph.#:<SPAN class="mandatory"></SPAN><BR> <INPUT onchange="comaDel(this,10,0,0,4)" size="19" name="BHomePhone0" class="text"></TD> <TD>Work Ph.#:<BR> <INPUT onchange="comaDel(this,10,0,0,4)" size="18" name="BBusinessPhone0" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD>Time spend at this address: <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="2" name="BLengthService7" class="text">Yrs. <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="2" name="BLengthService8" class="text">Mos.</TD> </TR> <TR> <TD>SIN#:<SPAN class="mandatory">&nbsp; <INPUT size="22" name="BBorrowerSIN1" class="text"></SPAN></TD> </TR> <TR> <TD>Marital Status:<BR> <INPUT type="checkbox" name="C80" value="ON">Single&nbsp; <INPUT type="checkbox" name="C81" value="ON">Married&nbsp; <INPUT type="checkbox" name="C82" value="ON">Widowed&nbsp; <BR> <INPUT type="checkbox" name="C83" value="ON">Separated&nbsp; <INPUT type="checkbox" name="C84" value="ON">Divorced&nbsp; <INPUT type="checkbox" name="C85" value="ON">Common Law</TD> </TR> <TR> <TD>Number of Dependents: <INPUT size="4" name="BAddress16" class="text"></TD> </TR> <TR> <TD>&nbsp;</TD> </TR> <TR> <TD><B><FONT size="2">Dwelling Status</FONT></B></TD> </TR> <TR> <TD>Residential Status:<BR> <INPUT type="checkbox" name="C86" value="ON">Rent/Lease&nbsp;&nbsp;&nbsp; Monthly Rent:<INPUT onchange="comaDel(this,8,0,0,3)" size="12" name="BLandlord1" class="text"><BR> <INPUT type="checkbox" name="C87" value="ON">Own&nbsp;&nbsp; <INPUT type="checkbox" name="C88" value="ON">Living with parents&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD> </TR> <TR> <TD height="15"> </TR> <TR> <TD><B><FONT size="2">Employment</FONT></B></TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table173" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD colspan="2">Current Employer:<BR> <INPUT onchange="comaDel(this,25,0,0,0)" size="40" name="BPresEmpName6" class="text"><BR> Job Description<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="40" name="Job7" class="text"></TD> </TR> <TR> <TD width="44%">Annual income:<BR> <INPUT onchange="comaDel(this,8,0,0,3)" size="17" name="BAnnualIncome4" class="text"></TD> <TD width="56%">Length of Employment:&nbsp; <BR> <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="17" name="BLengthService9" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD><B><FONT size="2">Income Type</FONT></B></TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table174" cellpadding="0" cellspacing="1"> <TBODY><TR> <TD> <INPUT type="checkbox" name="C89" value="ON">Salary</TD> <TD> <INPUT type="checkbox" name="C90" value="ON">Self-Employed</TD> <TD> <INPUT type="checkbox" name="C91" value="ON">Pensioner</TD> </TR> <TR> <TD> <INPUT type="checkbox" name="C92" value="ON">Alimony</TD> <TD> <INPUT type="checkbox" name="C93" value="ON">Commission</TD> <TD> <INPUT type="checkbox" name="C94" value="ON">Contract</TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table175" cellspacing="1" cellpadding="0"> <TBODY><TR> <TD width="144">Other Income Source:<BR> <INPUT maxlength="30" onchange="comaDel(this,30,1,0,0)" size="21" name="BOtherIncomeSource1" class="text"></TD> <TD>Additional income:<BR> <INPUT onchange="comaDel(this,8,0,0,3)" size="13" name="BAnnualIncome5" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD>&nbsp;</TD> </TR> <TR> <TD><B><FONT size="2">Previous Employment</FONT></B></TD> </TR> <TR> <TD> <TABLE border="0" width="100%" id="table176" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD colspan="2">Previous Employer:<BR> <INPUT onchange="comaDel(this,25,0,0,0)" size="40" name="BPresEmpName7" class="text"><BR> Job Description<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="40" name="Job8" class="text"></TD> </TR> <TR> <TD width="44%">Annual income:<BR> <INPUT onchange="comaDel(this,8,0,0,3)" size="16" name="BAnnualIncome6" class="text"></TD> <TD width="56%">Length of Employment:&nbsp; <BR> <INPUT onblur="comaDel(this,4,0,0,3);chekDat(this,4);" size="19" name="BLengthService10" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> </TBODY></TABLE> </TD> </TR> </TBODY></TABLE> </TD> </TR> </TBODY></TABLE> &nbsp;<BR> <SPAN style="FONT-SIZE: 10px; FONT-STYLE: italic"> <FONT color="#999999">Copyright 2010 CENTUM No Fee Mortgages and Loans Inc. </FONT></SPAN><BR clear="all" style="page-break-before:always"> <DIV align="center"> <TABLE width="580"> <TBODY><TR> <TD colspan="3" bgcolor="#800000" align="center"><B> <FONT size="2" color="#FFFFFF">Purpose of Loan</FONT></B></TD> </TR> <TR> <TD colspan="3"> <INPUT type="checkbox" name="C1" value="ON">Pre-Approval<BR> <INPUT type="checkbox" name="C2" value="ON">Home Purchase<BR> <INPUT type="checkbox" name="C3" value="ON">Transfer of Mortgage<BR> <INPUT type="checkbox" name="C17" value="ON">Refinance/Equity Take - if yes, for what reason <INPUT onblur="comaDel(this,8,0,0,3)" size="50" name="FMortgageAmountRequested0" class="text"></TD> </TR> <TR> <TD colspan="3"> <TABLE border="0" width="100%" id="table101" cellspacing="1" cellpadding="0"> <TBODY><TR> <TD>Sales price:<BR> <INPUT onblur="comaDel(this,8,0,0,3)" size="26" name="FMortgageAmountRequested1" class="text"></TD> <TD>Down Payment:<BR> <INPUT onblur="comaDel(this,8,0,0,3)" size="26" name="FMortgageAmountRequested2" class="text"></TD> <TD>Mortgage Amount:<BR> <INPUT onblur="comaDel(this,8,0,0,3)" size="26" name="FMortgageAmountRequested3" class="text"></TD> <TD>Date funds required:<BR> <INPUT onchange="comaDel(this,8,0,0,3);CloDChk(this,8);" size="20" name="FApproxDate0" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD colspan="3">&nbsp;</TD> </TR> <TR> <TD colspan="3" bgcolor="#800000" align="center"><B> <FONT color="#FFFFFF" size="2">Property Details</FONT></B></TD> </TR> <TR> <TD colspan="3"> <TABLE border="0" width="100%" id="table102" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD width="267"><SPAN class="apply">Address:<BR> </SPAN> <INPUT onchange="comaDel(this,25,0,0,0)" size="48" name="BAddress13" class="text"></TD> <TD width="152">City/Town:<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="27" name="BCurrentCity2" class="text"></TD> <TD width="59">Province: <SPAN class="mandatory"> <BR> </SPAN> <INPUT onchange="comaDel(this,5,0,0,3)" size="6" name="BAddress12" class="text"></TD> <TD>Postal Code:<SPAN class="mandatory"><BR> </SPAN> <INPUT onblur="postDel(this,6,0,2,0)" onchange="comaDel(this,6,0,2,0)" size="11" name="BCurrentCode2" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD colspan="3">&nbsp;<TABLE border="0" width="100%" id="table103" cellspacing="1" cellpadding="0"> <TBODY><TR> <TD width="299">Legal Description:<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="52" name="BCurrentCity3" class="text"></TD> <TD>MLS Number:<BR> <INPUT onchange="comaDel(this,15,1,0,0)" size="27" name="BCurrentCity4" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD colspan="3">Property type:<BR> <INPUT type="checkbox" name="C57" value="ON">Detached&nbsp; <INPUT type="checkbox" name="C58" value="ON">Apartment&nbsp; <INPUT type="checkbox" name="C59" value="ON">Duplex&nbsp; <INPUT type="checkbox" name="C60" value="ON">Rowhouse<BR> <INPUT type="checkbox" name="C61" value="ON">Other: <INPUT size="39" name="BCurrentCity5" class="text"></TD> </TR> <TR> <TD colspan="3">Property Title:<BR> <INPUT type="checkbox" name="C62" value="ON">Freehold&nbsp; <INPUT type="checkbox" name="C63" value="ON">Leasehold&nbsp; <INPUT type="checkbox" name="C64" value="ON">Condominium/Strata&nbsp;&nbsp;&nbsp; Maintenance Fee: <INPUT size="14" name="BCurrentCity6" class="text">/mo.</TD> </TR> <TR> <TD colspan="3"> <TABLE border="0" width="100%" id="table108" cellspacing="1" cellpadding="0"> <TBODY><TR> <TD>Lot Size:<BR> <INPUT size="15" name="BCurrentCity7" class="text"></TD> <TD>Age of Building:<BR> <INPUT size="15" name="BCurrentCity8" class="text"></TD> <TD>Square Footage:<BR> <INPUT size="15" name="BCurrentCity9" class="text"></TD> <TD>Property Taxes:<BR> <INPUT size="15" name="BCurrentCity10" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD colspan="3"> &nbsp;</TD> </TR> <TR> <TD colspan="3" bgcolor="#800000" align="center"> <FONT color="#FFFFFF" size="2"> <B>General information:</B></FONT></TD> </TR> <TR> <TD> &nbsp;</TD> <TD> Yes</TD> <TD> No</TD> </TR> <TR> <TD width="437"> Are there any suits or judgements against you or pending against you?</TD> <TD width="52"> <INPUT type="checkbox" name="C65" value="ON"></TD> <TD width="77"> <INPUT type="checkbox" name="C66" value="ON"></TD> </TR> <TR> <TD width="437"> Have you ever gone through bankruptcy</TD> <TD width="52"> <INPUT type="checkbox" name="C67" value="ON"></TD> <TD width="77"> <INPUT type="checkbox" name="C68" value="ON"></TD> </TR> <TR> <TD width="437"> Are any of your assets pledged or in any other manner unavailable for payment of your debts?</TD> <TD width="52"> <INPUT type="checkbox" name="C69" value="ON"></TD> <TD width="77"> <INPUT type="checkbox" name="C70" value="ON"></TD> </TR> <TR> <TD width="437"> Are any of your assets presently involved in a marriage or separation agreement?</TD> <TD width="52"> <INPUT type="checkbox" name="C71" value="ON"></TD> <TD width="77"> <INPUT type="checkbox" name="C76" value="ON"></TD> </TR> <TR> <TD width="437"> Are you the endorser or guarantor of anyone else s debt?</TD> <TD width="52"> <INPUT type="checkbox" name="C72" value="ON"></TD> <TD width="77"> <INPUT type="checkbox" name="C75" value="ON"></TD> </TR> <TR> <TD width="437"> Are you the endorser or guarantor of any leases or contracts?</TD> <TD width="52"> <INPUT type="checkbox" name="C73" value="ON"></TD> <TD width="77"> <INPUT type="checkbox" name="C74" value="ON"></TD> </TR> <TR> <TD colspan="3"> &nbsp;</TD> </TR> <TR> <TD colspan="3"> Comments:</TD> </TR> <TR> <TD colspan="3"> <TABLE border="1" width="41%" id="table109" cellspacing="0" cellpadding="0" style="border-collapse: collapse" height="20"> <TBODY><TR> <TD height="20"> <INPUT size="80" name="BCurrentCity12" class="text"></TD> </TR> <TR> <TD height="20"> <INPUT size="80" name="BCurrentCity15" class="text"></TD> </TR> <TR> <TD height="20"> <INPUT size="80" name="BCurrentCity16" class="text"></TD> </TR> </TBODY></TABLE> </TD> </TR> <TR> <TD colspan="3"> &nbsp;<P>&nbsp;</P> <P>&nbsp;</P> <P>&nbsp;</P> <P align="center"> <SPAN style="FONT-SIZE: 10px; FONT-STYLE: italic"> <FONT color="#999999">Copyright 2010 CENTUM No Fee Mortgages and Loans Inc. </FONT></SPAN> </P></TD> </TR> </TBODY></TABLE> </DIV><BR clear="all" style="page-break-before:always"> <DIV align="center"> <TABLE border="0" cellpadding="0" cellspacing="0" width="580" id="table106"> <TBODY><TR> <TD colspan="3" bgcolor="#800000" align="center"> <B><FONT color="#FFFFFF" size="2"> <SPAN class="apply">Assets</SPAN></FONT></B></TD></TR> <TR> <TD width="39%"><SPAN class="apply">Type</SPAN></TD> <TD align="center" width="41%"><SPAN class="apply"> <P align="left">Financial Institution(s)</P></SPAN></TD> <TD align="center" width="20%"><SPAN class="apply">Amount</SPAN></TD> </TR><TR> <TD width="39%" height="24">Cash savings</TD> <TD align="left" width="41%" height="24"><INPUT name="ACIB" onchange="comaDel(this,15,0,0,0)"></TD> <TD align="middle" width="20%" height="24">$<INPUT name="ACIBValue" onblur="comaDel(this,8,0,0,3);networths(this);" size="8"></TD> </TR><TR> <TD width="39%">Deposit on property being purchased </TD> <TD align="left" width="41%">&nbsp;</TD> <TD align="middle" width="20%">$<INPUT name="ADeposit" onblur="comaDel(this,8,0,0,3);networths(this);" size="8"></TD> </TR><TR> <TD width="39%">Automobile: present value</TD> <TD align="left" width="41%"> <INPUT name="ACIB0" onchange="comaDel(this,15,0,0,0)"></TD> <TD align="middle" width="20%">$<INPUT name="AAutoValue" onblur="comaDel(this,8,0,0,3);networths(this);" size="8"></TD> </TR><TR> <TD width="39%">Value of present home (if owned)</TD> <TD align="left" width="41%">&nbsp;</TD> <TD align="middle" width="20%">$<INPUT name="AHomeValue" onblur="comaDel(this,8,0,0,3);networths(this);" size="8"></TD> <!--tr--> <!--td bgcolor="#EEEEEE">Investment/vacation properties</span></td--> <!--td bgcolor="#EEEEEE" align="middle"--><!--/td--> <!--td bgcolor="#EEEEEE" align="middle"--><!--/td--> <!--td align="middle"><a href="javascript:winopen1('help-vacation.asp')" onmouseover="self.status='Help on Investment/Vacation Properties'; return true"><img alt="Help" border="0" src="http://www.secureapp.com/centum/graphics/centumhelp.gif"></a></td--> </TR><TR> <TD width="39%">Stocks, bonds, Mutual funds etc.</TD> <TD align="left" width="41%"><INPUT name="AInvestments" onchange="comaDel(this,25,1,0,0)"></TD> <TD align="middle" width="20%">$<INPUT name="AInvestmentsValue" onblur="comaDel(this,8,0,0,3);networths(this);" size="8"></TD> </TR><TR> <TD width="39%">RRSP's</TD> <TD align="left" width="41%"><INPUT name="ARRSP" onchange="comaDel(this,25,1,0,0)"></TD> <TD align="middle" width="20%">$<INPUT name="ARRSPValue" onblur="comaDel(this,8,0,0,3);networths(this);" size="8"></TD> </TR><TR> <TD width="39%">Other</TD> <TD align="left" width="41%"><INPUT name="AOther" onchange="comaDel(this,25,1,0,0)"></TD> <TD align="middle" width="20%">$<INPUT name="AOtherValue" onblur="comaDel(this,8,0,0,3);networths(this);" size="8"></TD> </TR><TR> <TD align="left" width="39%"><B>Total</B></TD> <TD align="middle" width="41%"><BR></TD> <TD align="middle" width="20%">$<INPUT name="ATotalValue" onchange="comaDel(this,10,0,0,3);networthx();" size="8"></TD> </TR></TBODY></TABLE></DIV> <DIV align="center"> <TABLE border="0" cellspacing="0" width="580" id="table107"> <TBODY><TR> <TD bgcolor="#800000" align="center"> <B><FONT color="#FFFFFF" size="2"> <SPAN class="apply">Liabilities</SPAN></FONT></B></TD></TR><TR> <TD> <TABLE cellspacing="0" cellpadding="1" width="582" border="0" id="table110"> <TBODY><TR> <TD width="245"><SPAN class="apply">Type</SPAN></TD> <TD align="left" width="155"><SPAN class="apply"> Financial Institution(s)</SPAN></TD> <TD align="middle" width="95"><SPAN class="apply"> Balance Owing</SPAN></TD> <TD align="middle" width="79"><SPAN class="apply"> Monthly Payment</SPAN></TD> </TR> <TR> <TD width="245">Debts / Loans</TD> <TD align="left"> <INPUT onchange="comaDel(this,15,1,0,0)" size="19" name="LBankLoans"></TD> <TD align="middle">$<INPUT id="loanBalance" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LLoanBalance"></TD> <TD align="middle">$<INPUT id="loanPayment" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LLoanPayment"></TD> </TR> <TR> <TD>Credit Cards</TD> <TD align="left"> <INPUT onchange="comaDel(this,15,1,0,0)" size="19" name="LBankLoans4"></TD> <TD align="middle">$<INPUT id="cardBalance" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LCardBalance"></TD> <TD align="middle">$<INPUT id="cardPayment" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LCardPayment"></TD> </TR> <TR> <TD>Owing on automobile</TD> <TD align="left"> <INPUT onchange="comaDel(this,15,1,0,0)" size="19" name="LBankLoans5"></TD> <TD align="middle">$<INPUT id="autoBalance" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LAutoBalance"></TD> <TD align="middle">$<INPUT id="autoPayment" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LAutoPayment"></TD> </TR> <TR> <TD>Amount owing on current mortgage 1</TD> <TD align="left"> <INPUT onchange="comaDel(this,15,1,0,0)" size="19" name="LBankLoans6"></TD> <TD align="middle">$<INPUT id="mortgageBalance" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LMortgageBalance"></TD> <TD align="middle">$<INPUT id="mortgagePayment" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LMortgagePayment"></TD> </TR> <TR> <TD>Amount owing on current mortgage 2</TD> <TD align="left"> <INPUT onchange="comaDel(this,15,1,0,0)" size="19" name="LBankLoans7"></TD> <TD align="middle">$<INPUT id="mortgageBalance2" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LMortgageBalance2"></TD> <TD align="middle">$<INPUT id="mortgagePayment2" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LMortgagePayment2"></TD> </TR> <TR> <TD>Mortgage Numbers of Current Mortgages</TD> <TD align="left"> <INPUT onchange="comaDel(this,15,1,0,0)" size="19" name="LBankLoans8"></TD> <TD>&nbsp;<BR> &nbsp;</TD> <TD>&nbsp;<BR> &nbsp;</TD> </TR> <TR> <TD>Finance company loans and other debts </TD> <TD align="left"> <INPUT onchange="comaDel(this,15,1,0,0)" size="19" name="LBankLoans9"></TD> <TD align="middle">$<INPUT id="financeBalance" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LFinanceBalance"></TD> <TD align="middle">$<INPUT id="financePayment" onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LFinancePayment"></TD> </TR> <TR> <TD>Alimony/ Child Support</TD> <TD align="middle"><BR> &nbsp;</TD> <TD align="middle"><BR> &nbsp;</TD> <TD align="middle">$<INPUT onblur="comaDel(this,8,0,0,3);networths(this)" size="8" name="LChildSupport"></TD> </TR> <TR> <TD class="app_tablemainhdr" align="left"> Total </TD> <TD class="app_tablemainhdr" align="middle"> <BR> &nbsp;</TD> <TD align="middle">$<INPUT onchange="comaDel(this,10,0,0,3);networthx()" size="8" name="LTotal"></TD> <TD align="middle">$<INPUT onchange="comaDel(this,10,0,0,3);networthx();" size="8" name="LTotalPayment"></TD> </TR> <TR> <TD class="app_tablemainhdr" align="left" colspan="4"> Net Worth (Total Assets - Total Liabilities) = $ <INPUT name="LNetWorth" onchange="comaDel(this,10,0,0,3);networthx();" size="10"></TD> </TR> </TBODY></TABLE> </TD> </TR></TBODY></TABLE> </DIV> <DIV align="center"> <TABLE border="0" width="580" id="table111" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD> <P align="justify">&nbsp;<BR> <SPAN style="font-size: 7pt">The above information is submitted to enable CENTUM No Fee Mortgages and Loans Inc. to consider a mortgage loan, and is to the best of my/our knowledge and belief a true statement of my/our personal information. In submitting this information, I /We hereby consent to CENTUM No Fee Mortgages and Loans Inc. obtaining such credit reports and other information as CENTUM No Fee Mortgages and Loans Inc. may deem necessary at any time in connection with this application for a mortgage loan. I/We hereby consent to the disclosure of my/our personal and credit information to any credit reporting agency, financial institution, legal firm, title insurance company, mortgage insurance company as well as CENTUM No Fee Mortgages and Loans Inc. and Filogix Inc or any other corporation directly involved in the mortgage process. I/We also consent to receive periodic mortgage account information as well as mortgage and real estate related direct marketing material. <BR> <BR> Your privacy is important. We committed to respecting and protecting your privacy and security. We have implemented measures to protect the privacy &amp; security of your personal information through strict policies and practices in compliance with applicable Federal and Provincial privacy legislation. Please contact us to discuss our privacy &amp; security policies and practices. &nbsp;</SPAN><BR> &nbsp;<TABLE border="0" width="100%" id="table112" cellspacing="0" cellpadding="0"> <TBODY><TR> <TD>Signature</TD> <TD>&nbsp;</TD> <TD>&nbsp;</TD> <TD>&nbsp;</TD> </TR> <TR> <TD>Borrower: <BR> <INPUT name="LBankLoans0" onchange="comaDel(this,15,1,0,0)" size="19"></TD> <TD>Date:<BR> <INPUT name="LBankLoans1" onchange="comaDel(this,15,1,0,0)" size="12"></TD> <TD>Co-Borrower:<BR> <INPUT name="LBankLoans2" onchange="comaDel(this,15,1,0,0)" size="19"></TD> <TD>Date:<BR> <INPUT name="LBankLoans3" onchange="comaDel(this,15,1,0,0)" size="12"></TD> </TR> </TBODY></TABLE> </P><P align="center"> <SPAN style="FONT-SIZE: 10px; FONT-STYLE: italic"> <FONT color="#999999">Copyright 2010 CENTUM No Fee Mortgages and Loans Inc. </FONT></SPAN> </P></TD> </TR> </TBODY></TABLE> </DIV> <SCRIPT src="./CENTUM No Fee Mortgages and Loans Inc. - Pre-Approval Application Form_files/urchin.js" type="text/javascript"> </SCRIPT> <SCRIPT type="text/javascript"> _uacct = "UA-962100-1"; urchinTracker(); </SCRIPT> </DIV></DIV></BODY></HTML>