Next Steps – Debt Form Details

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1-877-364-8204

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”https://mcguirefinancial.ca/wp-content/uploads/father-kids-3-1.jpg” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”center center” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”1px” border_color=”#b2b2b2″ border_style=”solid” padding_top=”20″ padding_bottom=”20″ padding_left=”” padding_right=”” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_2″ last=”no” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][/fusion_builder_column][fusion_builder_column type=”1_2″ last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”#ffffff” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”1px” border_color=”#cccccc” border_style=”solid” padding=”30px” margin_top=”60px” margin_bottom=”-180%” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_title size=”1″ content_align=”left” style_type=”default” sep_color=”” margin_top=”” margin_bottom=”” class=”” id=””]Debt Assessment Form[/fusion_title][fusion_separator style_type=”none” top_margin=”15px” bottom_margin=”” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][fusion_text]

To Help us better understand your financial circumstances, please fill in all of the information below. 

After you complete this form you will be prompted to book a convenient time for a 20 minute phone meeting.

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First Name *

Last Name *

Phone

Email *

Total Credit Card Debt

Total Owing on Unsecured Line of Credit

Total Student Loan

---------What year did you finish School

Total Owing on PayDay Loans

Total Owing to Revenue Canada

Total Owing on OLD Utility Bills

Total Owing to Others

Total Outstanding on Mortgage

Fair Market Value of your home

Total Owned on Home Equity Line of Credit

Total Owing on Vehicle(s)

Have you applied to a bank for a consolidation loan?

Yes

No

What was the result?

Approved

Approved - but not for the full amount

Did not Qualify

Is all the above Debt listed in your name ONLY?

Yes

No

Where are you in terms of payments:

Are you making the Minimum Payment

Are you behind

SUBMIT THIS FORM NOW

Please Wait...

Success!

Something is wrong with your submission.

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The next step is to book a convenient time for a 20 minute phone appointment.  This is a complimentary meeting with one of our debt consolidation experts. Once you click the above button you will be directed to the calendar where you can choose from available times.

Your information is 100% secure with us and your confidentiality is assured.

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