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DEBT CONSOLIDATION
QUICK APPLICATION
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NAME
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First
Last
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Co-Applicant Name
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Mailing Address
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Mailing Address
Phone Number
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Email
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Property Address to be Mortgaged (if different than above)
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Value of Property (Approx. or City Assessment)
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Quick Description of Property to be Mortgages (sq/ft, type, renovations, etc)
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Employment (Type, Position, Location, Company, Income)
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List Assets by Item & Value (House, Car, Stocks, RRSP, etc)
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List Liabilities & Debts by Item & Outstanding Balance
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