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SUBMIT: Chambers, Brad.jpg SUBMIT: Neighbourhood Dominion Lending Centres.jpg
Brad Chambers, AMP
Mortgage Agent
FSCO Agent Lic. M08001291

Phone: 519.474-0561 or 1.866.491.0561
Brad Chambers, Accredited Mortgage Professional, is a top-producing licensed mortgage agent with Neighbourhood Dominion Lending Centres. Prior to joining the Neighbourhood DLC team in 2007, Brad launched his mortgage brokering career with HLC Homes Loans Canada in 2001 and quickly became a top performer. Brad credits much of his success on his ability to focus on client database management, and his dedication to networking with realtors, financial planners, local business groups, colleagues, friends and family. Prior to becoming a mortgage professional, Brad learned the value of honing his customer service skills while managing several retail stores throughout Canada - including overseeing Moore's Clothing for numerous years in the London area.
All questions with a * must be filled in.  If your answer is NO or ZERO, please enter "N/A or NO" or "0"
First Name:*
Last Name:*
Unit #:
Postal Code
Years at Residence:*
Birth Date: Month*
Birth Date: Year*
Social Insurance No:*
Marital Status:*
No. of Dependents (exclusde spouse)*
How did you hear about me?
Do You Own or Rent?*
Current Rent Amount:
If you have lived here less than 3 years, what was your previous address:
Current Employer:*
Employer Address:
Years There:*
Employment Terms:*
Gross Annual Income (before taxes):*
Do you earn other income?:*
If yes, list income amount(s):
Additional Information:
If less than 3 years, where did you work previously?*
Assets: Principal Residence*
Asset: Cash/Savings*
Asset: Stocks/Bonds*
Asset: Auto Yr/Make/Model*
Additional Vehicle Information
Asset: RRSP's*
Asset: Other Real Estate*
Asset: Personal Effects*
Additonal Personal Effects Info:
Liabilities: Current Mortgage*
Liabilities: Personal Loans*
Liabilities: Line of Credit*
Liabilities: Car Payment*
Liabilities: Additional Car Payment*
Liabilities: RRSP Loan*
Liabilities: Other Mortgage*
Liabilities: Credit Cards*
Additional Info:

By clicking below you affirm that the information you have given in this Application is true and complete and that you have not withheld any information. We will rely on the information you have given to decide on your Application. You also agree to the terms below.

When you apply for a mortgage with us, you agree that:
1) We may collect and use personal information from you and about you for the following purposes: (a) to understand your needs (b) to determine the suitability of our products and services for you (c) to determine your eligibility for our products and services (d) to establish, manage and offer products and services that meet your needs (e) to provide on-going service and (f) to meet our legal and regulatory requirements.
2) We may use, give to, obtain, verify, share and exchange credit and other information about you with others including credit bureaus, mortgage insurers, credit insurers, registries and other persons with whom you may have financial dealings, as well as any other person as may be permitted or required by law. You also authorize any person whom we contact in this regard to provide such information to us.
We may ask you for your Social Insurance Number to use in verifying and reporting credit information to credit bureaus and credit reporting agencies. You may refuse to consent to its use or disclosure for these purposes.

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