The Cove - Credit Application

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The Cove - Credit Application

Applicant Personal Information

Name*

First Name

Initial

Last Name

Home Phone*

Cell Phone*

Date of Birth*

Status*

Married Single Separated Divorced Common Law

Home Address*

Address Line 1

Address Line 2

City

Province

Postal Code

How long at current address - Years*

How long at current address - Months*

Previous Address (if less than 2 years)*

Address Line 1

Address Line 2

City

Province

Postal Code

How long at previous address - Years*

How long at previous address - Months*

Residence*

Own Rent With Family

Monthly Payment*

Value*

Mortage Balance*

Mortgage Holder/Landlord*

Email Address*

Comments

Applicant Employment Information

Current Employer*

Position*

Phone Number*

Employer's Address*

Address Line 1

Address Line 2

City

Province

Postal Code

How long at current Employer - Years*

How long at current Employer - Months*

Self Employed*

Yes No

Work Status*

Full Time Part Time Seasonal Retired

Annual Income*

Previous Employer (if less than 2 years)*

Previous Position*

Previous Employer's Phone Number*

Previous Employer's Address*

Address Line 1

Address Line 2

City

Province

Postal Code

How long at Previous Employer - Years*

How long at Previous Employer - Months*

Co-Applicant Personal Information

Name

First Name

Initial (optional)

Last Name

Home Phone

Cell Phone

Date of Birth

Status

Married Single Separated Divorced Common Law

Home Address

Address Line 1

Address Line 2

City

Province

Postal Code

How long at current address - Years

How long at current address - Months

Previous Address (if less than 2 years)

Address Line 1

Address Line 2

City

Province

Postal Code

How long at previous address - Years

How long at previous address - Months

Residence

Own Rent With Family

Monthly Payment

Value

Mortage Balance

Mortgage Holder/Landlord

Co-Applicant Employment Information

Relationship with Primary Applicant

Current Employer

Position

Phone Number

Employer's Address

Address Line 1

Address Line 2

City

Province

Postal Code

How long at current Employer - Years

How long at current Employer - Months

Self Employed

Yes No

Work Status

Full Time Part Time Seasonal Retired

Annual Income

Previous Employer (if less than 2 years)

Previous Position

Previous Employer's Phone Number

Previous Employer's Address

Address Line 1

Address Line 2

City

Province

Postal Code

How long at Previous Employer - Years

How long at Previous Employer - Months

Signatures

The terms set out on the bottom of this form are part of this application. The applicant, and Co-Applicant agree along with you (The Cove Muskoka) to everything written here and on the bottom of this form.

Applicant Signature*

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Use your mouse or finger to draw your signature above

Date*

Co-Applicant Signature

[clear]

Use your mouse or finger to draw your signature above

Date

The Applicant and Co-Applicant (we) certify that all information supplied to your herein (The Cove Muskoka) is true and complete.

From time to time.

You may collect credit and other financially related information about us, from the service arrangement we have made through, from credit bureaus and other financial institutions, and from references we have provided you
You may use the information as follows
1. Provide it to credit bureaus and other financial institutions and, with our consent, to other parties
2. To determine our financial situation
3. To provide us with the services we request from you
4. Provide it to anyone who works with you or for you, but only as need for providing the services we request from you.
5. You may use our social insurance number as an aid to identify us with credit bureaus and other financial institutions for credit history matching purposes.