Understanding the intricacies of the Mortgage Statement RBC Form can be a pivotal step for individuals engaging in significant financial activities, particularly those linked to business loans and personal financial assessments. This comprehensive document, known as the PERSONAL STATEMENT OF AFFAIRS E-FORM 1403 (2003-03), serves multiple purposes, ranging from capturing personal information such as names, social insurance numbers, and addresses to detailing an individual's complete financial profile, including assets, liabilities, income, and expenses. Moreover, it delves into employment details and gathers data concerning one's spouse, thereby painting a full picture of the applicant's financial health. Key sections of the form include schedules for real estate, life insurance, retirement accounts, and business interests, each designed to assess the value and ownership of significant assets. Questions regarding potential legal or tax issues, such as asset repossession, involvement in claims or lawsuits, bankruptcy, and back taxes, are also addressed. The declaration at the form's conclusion underscores the importance of truthfulness and accuracy, as the information provided forms the basis for evaluating creditworthiness and making lending decisions. This form not only facilitates a transparent evaluation process by the Royal Bank of Canada but also requires applicants to meticulously assess their financial standing, making it a crucial document for both the bank and the individual.
Question | Answer |
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Form Name | Mortgage Statement Rbc Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | 1st, rbc personal statement of affairs, E-FORM, Qtr |
PERSONAL STATEMENT
OF AFFAIRS
Branch Name
( Mo. Day Year ) Business loan reference
Personal Information
First Name |
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Middle Name |
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Surname |
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Social insurance no. |
Date of birth |
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( Mo. Day Year ) |
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Home address (Apt./P.O. box/Street and Number |
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City/Town |
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Prov. |
Postal code |
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Home telephone no. |
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Business telephone no. |
Residence |
Own |
Marital status |
No. of dependants |
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including spouse |
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Other |
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Rent |
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Principal bank or financial institution |
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Address |
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Savings A/C no. |
Chequing A/C no. |
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Have you ever |
Yes |
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If yes - where |
When |
Amount |
Previous |
Yes |
If yes - where |
When Amount |
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borrowed |
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Royal Bank |
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No |
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No |
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before? |
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loans? |
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Financial Profile |
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Assets |
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Liabilities |
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(List and describe all assets - Schedules on reverse) |
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(List credit cards and other liabilities including alimony and child support) |
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Balance owing |
Cash - Royal Bank |
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$ |
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Bank loans (see schedule F) |
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$ |
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Cash - Other financial institutions |
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Mortgages on real estate (see schedule B) |
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Life insurance C.S.V. (see schedule C) |
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Credit cards |
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1. |
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Retirement accounts (see schedule D) |
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(please itemize) |
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2. |
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Marketable securities (see schedule A) |
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3. |
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Accounts and |
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1. |
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Other obligations |
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1. |
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loans receivable |
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2. |
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(please itemize) |
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2. |
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(Please itemize) |
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3. |
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(B) Total liabilities |
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Automobiles |
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Make/yr. |
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(C) Net Worth (A minus B) |
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Make/yr. |
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Sundry Obligations |
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Real estate (see schedule B) |
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Are you personally supporting contingent obligations |
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Yes |
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Business interests (see schedule E) |
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not listed above (e.g. |
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No |
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Other assets |
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1. |
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If yes, please indicate liability and provide details on |
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(please itemize) |
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amount, to whom and nature of obligations below: |
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2. |
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3. |
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(A) Total Assets |
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$ |
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Present Annual Income and Expenses |
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Your gross income |
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Your expenses |
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Annual salary or wages |
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$ |
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Mortgage/rental payments |
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$ |
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Commissions and bonuses |
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Real estate taxes |
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Dividends and interest |
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Federal and Provincial income taxes |
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Rental income (schedule B reverse) |
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Insurance premiums |
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Other income |
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1. |
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Credit cards |
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(please itemize) |
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2. |
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Consumer loan payments |
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Subtotal |
$ |
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Alimony, child support or maintenance payments |
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Spouse's gross income |
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Other expenses |
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Annual salary or wages |
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(please itemize) |
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2. |
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Other income |
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1. |
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3. |
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(please itemize) |
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2. |
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4. |
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Total annual |
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Total annual |
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income |
$ |
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expenses |
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$ |
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Employment Information |
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Employer's name and address |
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Yrs. there |
Telephone no. |
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Occupation |
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Previous employer's name and address |
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Telephone no. |
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Data on Spouse |
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First Name |
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Initial |
Surname |
Occupation |
Social insurance no. |
Date of birth |
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( Mo. Day Year ) |
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Employer's name and address |
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Yrs. there |
Telephone no. |
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General Information (if you answer YES to any of these questions, please provide details)
Have you ever had an asset repossessed? |
Yes |
No |
Details |
Are you involved in any claims or lawsuits? |
Yes |
No |
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Have you ever declared bankruptcy? |
Yes |
No |
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Do you owe any back taxes? |
Yes |
No |
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Schedule A: Marketable Securities, Stocks and Bonds
No. of |
Description |
In name of whom Market value |
Where quoted |
Total market |
Pledged as collateral |
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units/shares |
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per share |
or listed |
value |
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Yes |
No |
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Yes |
No |
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Yes |
No |
Schedule B: Real Estate (1) Primary residence (2) Other
1. |
Street name and number |
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City |
Province |
Legal description |
% ownership |
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Title in name of |
Date acquired |
Purchase price |
Market value |
Gross annual |
Net monthly |
Annual taxes, insurance, |
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(Mo Day Year) |
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rental income |
rental income |
maintenance & misc. |
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Name of mortgage holder e.g. financial institution |
Amount of mortgage |
Annual mortgage payments |
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1st |
2nd |
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1st $ |
2nd $ |
1st $ |
2nd $ |
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2. |
Street name and number |
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City |
Province |
Legal description |
% ownership |
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Title in name of |
Date acquired |
Purchase price |
Market value |
Gross annual |
Net monthly |
Annual taxes, insurance, |
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(Mo Day Year) |
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rental income |
rental income |
maintenance & misc. |
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Name of mortgage holder e.g. financial institution |
Amount of mortgage |
Annual mortgage payments |
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1st |
2nd |
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1st $ |
2nd $ |
1st $ |
2nd $ |
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Schedule C: Individual and Group Life Insurance |
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Insurance company |
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Beneficiary |
Face amount |
Policy loans |
Cash surrender value |
Schedule D: Retirement Accounts (Tax sheltered investments)
Quantity |
Administrator |
Description including RRSPs, |
In name of whom |
Current value |
Total current |
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(financial institution, broker etc.) |
RHOSPs, DPSPs, pension fund, etc. |
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per unit |
value |
Schedule E: Business Interests
List all business in which you are an owner % owned |
Position/title |
Net worth of |
Type of business |
Year established |
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business |
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Schedule F: Bank Loans (Exclude real estate loans)
Lender |
Purpose |
Date of loan |
Payment |
Collateral |
Original |
Outstanding |
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(Mo. Day Year) |
(per Mo/Qtr/Pa) |
description |
amount |
balance |
Declaration
The undersigned hereby declare(s) that all the information provided herin and on the accompanying statements is to the best of my/our knowledge true, complete and correct and understand it will be used by the Bank to determine credit worthiness. The proceeds of the loan applied for will be used for business purposes and not for personal, family or household purposes. The undersigned further consent(s) to Royal Bank of Canada making any enquiries it deems necessary to reach a decision on this application, and consent(s) to the disclosure at any time of any credit information about me/us to any credit reporting agency or to any one with whom I/we have financial relations.
Per: |
(Mo. Day Year) |
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Signature of applicant |
Signature of applicant |
Date |