Application for the Home Trust Equityline VISA® |
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Fax completed application to Karen Minns: Fax (416) 775-5097 or 1 (866) 626-8887
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| PLEASE TELL US ABOUT YOURSELF |
| PROPERTY |
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Value of property $
Mortgage lender (institution name and phone number) Annual property taxes $ Monthly payment amount $ |
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Remaining mortgage balance $
Purchase price $
# of years/months there: |
| APPLICANT'S SOURCE OF INCOME | |
| Monthly income (before tax) $ | Other income |
| Current employer name | Occupation |
| Employer's Address | Suite # |
| City | Province Postal Code |
| Please enter the number of years/months if more than 2 years to current employer | |
| Previous employer name if less than 2 years | |
| DO YOU REQUIRE A SECONDARY CARD? TELL US ABOUT THE CO-APPLICANT. |
| Is this your principal residence? YES NO |
| Social insurance number (mandatory**) |
| Marital status: |
| First name Initial Last name |
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Date of birth (mm/dd/yy)
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Mother's maiden name
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Street #
Street name
City
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| Province Postal code |
| Home phone Mobile phone Business phone # Ext: |
| CO-APPLICANT'S SOURCE OF INCOME | |
| Monthly income (before tax) $ | Other income |
| Current employer name | Occupation |
| Employer's Address | Suite # |
| City | Province Postal Code |
| Please enter the number of years/months if more than 2 years to current employer | |
| Previous employer name if less than 2 years | |
| I/we the undersigned hereby declare that I/we are not acting on behalf of a third party and that the account referred to herein does not have any beneficial owners. |
| I certify the above information to be true and correct and by signing below accept as notice in writing of, and consent to, collection, use, disclosure and verification of any credit, personal or other information about me at any time from, to, or with any credit reporting agency, credit grantor, or any person with whom I may have financial dealings or as may be permitted or required by law. I understand that all such information shall be collected, used and disclosed by you and any affiliates, agents, service providers, successors or assigns thereof to assess my creditworthiness for this application and my on-going creditworthiness, for determining my eligibility for any other products and services to be offered to me and for such other uses not prohibited by law. By signing this application, I agree to abide and be bound by the terms and conditions of the Cardholder Agreement that Home Trust will provide to me upon approval or send with my new card(s) (as amended or restated from time to time). I agree that you may open a Home Trust VISA account in my name ("Account"), issue me card(s), a Personal Identification Number, and renewals or replacements from time to time. I agree that if I use my card or Account, I shall be deemed to have requested and received the card, Account and Cardholder Agreement, and that I agree with everything written in the Cardholder Agreement and this application. Where a co-applicant signs this application, we acknowledge the terms of this application and all consents given in it bind both of us, and all references to "I" shall mean the applicant and co-applicant individually. Each applicant and co-applicant shall be jointly and severally liable for any indebtedness incurred through the use of the cards issued pursuant to this application. I may obtain your privacy code or review my options for refusing or withdrawing this consent, including my option not to be contacted about offers of products or services by calling 1-866-817-7719. You provide consent that your Cardholder information may be shared with VISA Canada, VISA International, and their employees and agents for the purposes of cardholder participation in contests administered by VISA; processing, authorizing and authenticating cardholder VISA transactions; and providing customer assistance. I am required to make regular monthly payments of either 1.0% or 1.5% of the outstanding balance (applicable rate will depend on my income, credit history and home equity available) or $10.00 (whichever is greater) on my Account. Failure to do so will result in forfeiting the collateral provided up to the amount of the Debt owing. |
| A one-time, non-refundable account set-up fee of up to 2.0% of the approved credit limit and a FCT Insurance Company Ltd. (FCT) or FNF Canada (FNF) legal fee of up to $654.70 will be charged to my VISA account. (FCT and FNF legal fees vary by province up to a maximum of $654.70 for basic services where no other secured debt is paid out. However, if FCT or FNF is required to perform additional services, including but not limited to, title search update, discharge registration, the payment of other secured debt, additional fees will apply. See website for full details.) An over-limit fee of $29.00 will be charged for every month my credit limit is exceeded, and a fee of $39.00 will be charged for a non-sufficient funds (NSF) cheque. Annual interest rate is 7.99%, 9.99% or 11.99% for cash advances and outstanding balances on purchases. Interest rate and repayment terms depend on my income, credit history and home equity available, and are subject to change with notice. This offer is only available in Alberta, British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario and PEI. See website for full details. |
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Signature ___________________________ Date (mm/dd/yy) / / |
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Co-applicant Signature ________________________
Date (mm/dd/yy)
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