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Rajesh.bassi@rbc.com
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1. Personal Information
Email
First Name
MI
Last Name
S.I.N. (Optional)
Date of Birth
Current Address
City
Province
P
o
stal Code
Yr
s
Old Address (If less than 3 yrs) City
Province
Po
st
al Code
Yrs
Marital Status
Dependents
Home Phone
Residential Status
Current Employer
Occupation
Work Phone
Type of Income
Current Employer Address
Gross Yearly Income
Years there
Previous Employer
If less than 3 years
Occupation
Gross Yearly Income
Yrs
I have a co-applicant
2. Co-Applicant Information
First Name
MI
Last Name
S.I.N. (Optional)
Date of Birth
Current Employer
Occupation
Work Phone
Type of Income
Current Employer Address
Gross Yearly Income
Years there
Previous Employer
If less t
h
an 3 years
Occupation
Gross Yearly Income
Yrs
Relationship to Applicant
3. Details of Mortgage Loan
Purchase Price of Home
Annual Property Tax
Down Payment
y
ou have
Closing Date
Down Payment Source
Desired
T
erms
Ammortization
Property Address
4. Assets
Vehicle 1 (Make, Model, Year)
Value
Vehicle 2 (Make, Model, Year)
Value
RRSPs
Stocks/Bonds
Personal Effects
Name of Bank
Balance
5. Liabilities
Outstanding Credit Card Debt
Loans/Line of Credit
Car Payment
Rent
Child Support
6. Comments
Please put any additional information here that would assist us in fulfilling your request
We Herby authorize RBC Financial Groups to complete a credit inquiry for credit purposes. A representative or RBC Financial Group to further complete this application may contact I / We.
Email:
rajesh.bassi@rbc.com
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