Parama - Application for Credit

Amount: $

Purpose:

Personal Information

Title:

Name:

First

Last

Address:

Street Address

City

Province

Postal Code

Phone:

e.g. 111-111-1111

Social Insurance No.

Birth Date:

Marital Status:

Number of dependents (excluding spouse):

Account No.

Spouse's Name:

First

Last

Address:

Same as applicant

Street Address

City

Province

Postal Code

Phone:

e.g. 111-111-1111

Social Insurance No.

Birth Date:

Spouse as co-application
For information purposes only

Employment Information

Employer's Name:

Address:

Phone:

e.g. 111-111-1111

Occupation:

How long with present employer:

years months

If less than 3 years, previous employer and occupation:

Spouse's employer:

Address:

Phone:

e.g. 111-111-1111

Occupation:

How long with present employer:

years months

If less than 3 years, previous employer and occupation:

Home Information

Housing Type

How long at the present address:

years months

Is less than 3 years, previous address:

If you own, how is home registered:

Purchase Price: $

Estimated resale value: $

Mortgage payment (monthly): $

Property Taxes (annually): $

Mortgage maturity date:

Monthly rent: $

Income

	Applicant	Co-Applicant/Spouse
Gross Annual Salary	$	$
Bonus Income	$	$
Other Income	$	$
	$	$

Total	$	$
Total Income - applicant + spouse		$

Financial Statement

Assets	Current Value
Residence
	$
Other Real Estate
	$
Cash - (Institution Name)
	$
	$
Autos Owned - (make, model, year)
	$
	$
RRSPs
	$
	$
Other Assets (please describe)
	$
	$
	$

Liabilities (describe)	Current Balance	Monthly Payment
Mortgage (mtg. co.)
	$	$
	$	$
Loans/Line of credit
	$	$
	$	$
	$	$
	$	$
Credit Cards
	$	$
	$	$
	$	$
	$	$
Leases
	$	$
	$	$
Alimony/Support
	$	$

Total Assets	$
Net Worth (total assets - total liabilities)	$

Total Liabilities

Indirect Liabilities

Is the Applicant/Co-Applicant the Guarantor of any other loans?

YesNo

$ Amount

Specifics

Request for new mortgage

First mortgage: $

Secondary financing: $

Down payment/equity amount: $

Purchase price/estimated value: $

Purchase Date:

Details:

Source of down payment:

Closing Date:

Security

Mortgage Security

Address of property:

Owner occupied:

YesNo

Solicitor:

Name

Address

Phone (e.g. 111-111-1111)

Personal References

In submitting this on-line application to PARAMA LITHUANIAN CREDIT UNION LIMITED, the applicants accept and consent to the following terms and conditions:

The applicants are not indebted to any other Credit Union, Bank, Trust Company, Agency, Loan or Mortgage Company, either as a maker or endorser, except as stated above. The statements herein are made for the purpose of obtaining credit and are true to the best of my knowledge and belief.

The applicants hereby agree that any misstatement of the facts contained herein or in any supporting documents shall entitle PARAMA LITHUANIAN CREDIT UNION LIMITED, "PARAMA", to cancel the approval of the facility and require immediate repayment of all monies.

The applicants consent to and accept this as written notice of PARAMA obtaining, storing, using or disclosing any account, credit, personal or other information about me at any time, from, to or with any credit bureau, credit grantor, or other person in connection with any relationships between myself and PARAMA or those which PARAMA or I may wish to establish. PARAMA and it's service providers may use this information to: a) determine my financial situation; b) disclose it to a credit bureau, credit insurer or other financial institution in order to maintain the accuracy of information used in determining creditworthiness; c) provide me with PARAMA services; d) disclose it to anyone working with or for PARAMA, but only as needed for providing PARAMA services; e) provide me with information and offers on your products or services, or those of others, that you believe may be of interest to me. PARAMA may also use my social insurance number as an aid to identify me for history matching purposes.

By pressing submit you agree to the above terms and conditions.