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  • Personal Details
  • Address Details
  • Other Details
  • Assets
  • Debts & Obligations
  • Property Information
  • Comments

Please give us as much information as you can so we can work faster to get back to you.

Check here if you are currently a homeowner.

Personal Details

Current Address


Previous Address (if < 3 years ago)

Other Details

check here if you have a co-applicant.


Debts & Obligations

Total Amount


Property Information

Comments - special needs, objectives, credit notes etc

(Please provide any additional information which could help us to approve your loan)

Client Consent and Credit Application Disclaimer

Consent to obtain and exchange credit information

We respect your privacy, and protect your personal information.

In order to serve you, our information and approval processes require us to obtain credit information and exchange information about you with lenders and other service providers (for example, credit bureaux, appraisers, Realtors, lawyers and others).

By using this site and providing us with personal information, you indicate your approval for us to process your request and exchange such personal information.

Credit Decisions

Credit decisions are made by mortgage lenders in their sole discretion based on their own policies and credit requirements, and are beyond the control of Holly Robinson Mortgages. Final approval decisions rendered by mortgage lenders are done so solely in their own judgment and are subject to conditions set out in documentation issued by such mortgage lenders. Pre-approval and proposal decisions are estimates of credit worthiness based on information provided by the customer before verification, and are subject to change.

Customer Information

This will confirm that customer information provided by me, or on my behalf, to Holly Robinson Mortgages to support my application for a mortgage is correct. If approved for credit by a mortgage lender, such approval is subject to the accuracy of the information provided to the lender, and said approval may be subsequently withdrawn. I accept full responsibility for the consequences of any errors or omissions in my customer information.

Customer Consent

I consent to Holly Robinson Mortgages, its affiliates and assigns obtaining a credit bureau report on me to verify Customer Information. I / we authorize the receipt and exchange of information about me with your affiliates from time to time as you deem necessary, and to the sharing or exchange of reports and information with credit reporting agencies, credit bureaux, mortgage insurers and/or any other person, corporation, firm or enterprise whom I / we have, or propose to have, a financial relationship, to protect against fraud or error, to understand my needs, to identify me, to provide ongoing service and to comply with regulatory and legal requirements.