Credit Union Atlantic
Credit Union Atlantic
7105 Chebucto Road, Suite 350, Halifax, NS, B3L 4W8
6954 Mumford Road Suite 4,Halifax, NS, B3L 4V9
6070 Lady Hammond Road, Halifax, NS, B3K 2R6
3 Cumberland Drive, Cole Harbour, NS, B2V 2T6
380 Pleasant Street Unit 1, Dartmouth NS, B2Y 3S5
5670 Spring Garden Road, Halifax NS, B3J 1H6

* = REQUIRED FIELDS

Loan Information

Application Type:
Mortgage    Personal Loan    Line Of Credit    RRSP Loan    Overdraft   
Requested Amount Term Amortization (Mortgage Loans Only)
 
MORTGAGE CALCULATOR LOANS CALCULATOR


Personal Information

Last Name *
First Name *
Middle Name
Birth date *
SIN *
Address - Street *
City *
Province *
Postal Code *
How long at this address (yrs)*
Previous Address (if at current address less than 2 yrs)
Primary Phone # *
Secondary Phone #
Email Address
Preferred Method of Contact (i.e. email, telephone, work, home, cell)
Are you a Member? Yes No
Shares $
Marital Status: *
Single Married Common Law Separated/Divorced
# of Dependants *

Co-Applicant Personal Information

Last Name
First Name
Middle Name
Birth date
SIN
Same Address as Buyer? Yes No
Address - Street
City
Province
Postal Code
How long at this address (yrs)
Previous Address (if at current address less than 2 yrs)
Marital Status:
Single Married Common Law Separated/Divorced

Buyer Employment & Income

Employer *
Employer Phone* ext
Employers Complete Physical Address Including postal code *
How long have you been working there? (yrs)*
Employment Status*
Employment Type (please complete if above answer is Other-Undergraduate(University) or Other-Graduate(Masters/PHD)
Occupation / Position *
Gross Income (Monthly)*
Additional Income (Monthly)
Identify Source for Additional Income
    If Other please Specify
Previous employer (if less than 2 years in current position)
How long were you there for? (yrs)
Occupation / Position

Co-Applicant Employment & Income

Employer
Employer Phone ext
Employers Complete Physical Address Including postal code
How long have you been working there? (yrs)
Employment Status
Employment Type (please complete if above answer is Other-Undergraduate(University) or Other-Graduate(Masters/PHD)
Occupation / Position
Gross Income (Monthly)
Previous employer (if less than 2 years in current position)
How long were you there for? (yrs)
Occupation / Position

Buyer Financial Information

Housing Status Rent   Own
Mortgagor or Landlord?
Estimated Property Value
Estimated Mortgage Balance
Rent/Motgage (PIT) Payment (Monthly)*
Support Payments (Monthly)

Other Debt and/or Expenses

examples (Credit Cards, Loans, Extra Mortgage)
Other DebtBalanceDescription

Assets

examples (House, Investments, RRSP's savings, cars, cottage)
ValueDescription

PAP Information

Financial Institution Branch Address
Bank Id. Transit No. Account # from which
payments will be made



Will this loan be used by or on behalf of a third party? No Yes    (If "Yes" is selected please complete and attach a Third Party Determination form.)

  BuyerCo-Buyer
Have you ever been?Bankrupt *Yes NoYes No
  Date:Date:
 Orderly Payment of DebtsYes NoYes No
Are you now or do you anticipate being involved in litigation?Yes NoYes No


Personal Reference

Full Name: Phone #: Relationship:
Full Address:
 
Full Name: Phone #: Relationship:
Full Address:


Branch

Reason For the Loan *



If I/we choose to provide the Credit Union with my/our Social Insurance Number(s), I/we authorize the Credit Union to use it for verifying and reporting credit information to credit bureaus and credit reporting agencies. I/We understand that I/we may refuse to consent to its use or disclosure for these purposes. This consent and authorization is provided on the condition that the Credit Union is in compliance with any applicable legislation, including the Personal Information Protection and Electronic Documents Act (Canada). I/We understand that I/we may obtain more information regarding the Credit Union's commitment to protecting my/our privacy including my/our right to limit or withdraw my/our consent and authorization respecting my/our Personal Information by reviewing the Credit Union's Privacy Code, which will be provided to me/us at my/our request. I/We hereby certify that all statements made in this credit application are true and complete and submitted for the purpose of obtaining credit.