Mortgage Information

Application Type :
Loan Amount :
Down Payment :
Property Address :

Primary Applicant

Name :
Address :
City :
Prov :
Postal Code :
Telephone :
Home :
Business :
Time at Res :
Previous Address :
Yrs :

Know Your Customer (KYC)

Gender :
Marital Status :
Birth Date :
S.I.N :
No. of Dependents :
ID Type :
Reference # :
ID Type :
Reference # :
Dwelling Status :

Employment

Current Employer :
Address :
City :
Prov :
Job Description :
Annual Income :
Length of Employment :
Industry Sector :
Occupation :
Income Type :
Additional Income :
Previous Employer :
Job Description :
Annual Income :
Length of Employment :
Industry Sector :
Occupation :

Joint Applicant/Guarantor

Name :
Address :
City :
Prov :
Postal Code :
Telephone :
Home :
Business :
Time at Res :
Previous Address :
Yrs :

Know Your Customer (KYC)

Gender :
Marital Status :
Birth Date :
S.I.N :
No. of Dependents :
ID Type :
Reference # :
ID Type :
Reference # :
Dwelling Status :

Employment

Current Employer :
Address :
City :
Prov :
Job Description :
Annual Income :
Length of Employment :
Industry Sector :
Occupation :
Income Type :
Additional Income :
Previous Employer :
Job Description :
Annual Income :
Length of Employment :
Industry Sector :
Occupation :
Assets
Types / Description Financial Institution Years Asset Value Mthly Pymt. Co-Borrower
Real Estate
Address Financial Institution Years Asset Value Mthly Pymt. Co-Borrower
Total Assets
Net Worth

Purpose of Account

At this time, this credit facility is intended to be used primarily for the following purpose.

Realtor Name :

In this section, the words you, your and yours mean the Applicant, Joint Applicant(s) and any guarantor(s).
The words we, us and our mean the TD Bank Financial Group*.

By signing below, you certify that:

If you are applying for a Mortgage or Home Equity Line of Credit, you confirm that:

Consent to the Collection, Use and/or Disclosure of Your Information
You agree that, at the time you begin a relationship with us and during the course of this relationship, we may collect, use and disclose your Information as described in the Privacy Agreement provided with this Application and located on td.com, including for, but not limited to, the purposes of identifying you, providing ongoing service, understanding your financial needs, marketing products and services to you by telephone, fax, and automatic dialing-announcing device, at the numbers you have provided us, or by internet and mail or other methods, protecting us both from fraud and error and complying with legal and regulatory requirements.

Credit Consent
We will obtain Information and reports about you from credit reporting agencies and other lenders at the time of and during the application process, and on an ongoing basis to review and verify your creditworthiness and/or establish credit and hold limits. You may choose not to have us conduct a credit check in order to assess an application for credit. Once you have such a facility or product with us, we may from time to time disclose your Information to other lenders and credit reporting agencies seeking such Information, which helps establish your credit history and supports the credit granting and processing functions in general. If you have a credit product with us, you may not withdraw your credit consent.

Credit Products
If you are applying for a Mortgage or a Home Equity Line of Credit, or other product that may be insured by mortgage default insurance, you agree that a mortgage default insurer may also obtain Information about you from a credit reporting agency from time to time, and may use such information for any purpose related to the credit product and the mortgage default insurance.

You agree that the approval or granting of any credit by us to you, with or without mortgage default insurance, is not to be construed or relied on by you as representing the value or condition of any underlying security or that it confirms that you have the ability to pay the credit facility.

You agree that we make no representation, warranty, statement, recommendation, guarantee or endorsement with respect to any investment or with any goods or services purchased using the credit facility.

*The TD Bank Financial Group means The Toronto-Dominion Bank and its affiliates, who provide deposit, investment, loan, securities, trust, insurance and other products or services.

If you agree enter your initials :