Mortgage Questionnaire -

Client Information 1
Name
First Middle Last
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Marital Status
- Single
- Married
- Divorced
Name of Spouse (if applicable)
First Middle Last
Spouse Date of Birth
MM slash DD slash YYYY
Cell Phone
Email
Occupation
Employer
Work Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone
Are you residing at the property?
- Yes
- No
(If NO and you have rented the property, please e-mail a copy of the lease to philip@hummingbirdlaw.com)
Address After Closing
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Client Information 2
Name
First Middle Last
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Marital Status
- Single
- Married
- Divorced
Name of Spouse (if applicable)
First Middle Last
Spouse Date of Birth
MM slash DD slash YYYY
Cell Phone
Email
Occupation
Employer
Work Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone
Are you residing at the property?
- Yes
- No
(If NO and you have rented the property, please e-mail a copy of the lease to philip@hummingbirdlaw.com)
Address After Closing
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Is there a MORTGAGE or LINE OF CREDIT registered on the property?
- Yes
- No
(If YES, please email a copy of your most recent Mortgage or Line of Credit Statement to philip@hummingbirdlaw.com)
Who is the lender? (Bank Name)
Loan No.
New Mortgage Information
Please advice of the name and address of the mortgage company with whom you will be placing your new mortgage(s) (whichever is applicable):
First Mortgage Company
Contact Name
First Last
Phone
Second Mortgage Company
Contact Name
First Last
Property Information
Property Use
- Residential
- Business
Are the property taxes paid up to date?
- Yes
- No
(***Please email philip@hummingbirdlaw.com a copy of your Final 2019 Tax Bill***)
Please provide two pieces of your identification (front and back), one being your Driver's License or Passport and the other can be a Major Credit Card, SIN Card or Birth Certificate. This can be emailed to philip@hummingbirdlaw.com as well.

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Client Information 1