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On a mission to do good for borrowers, Loan-Hub Canada is ready to assist you. To inquire about your debt consolidation options without obligation, please complete the form below
Canadian Citizen?
*
Yes
No
Name
*
Legal first Name
Legal last Name
Email
*
example@example.com
Address
*
Home Address (Canada only)
City
Province (Canada only)
Postal Code
Cell Phone
*
-
Area Code
Phone number
Land Phone
-
Area Code
Phone Number
Facebook Profile
Facebook Profile
Date of Birth
*
/
Month
/
Day
Year
mm-dd-yyyy
SIN
*
Canadian SIN
Employer
*
Company name
Employer How Long?
*
Job description
*
How long have you held the same bank account (where your payroll is deposited)
*
Monthly employment income
*
Gros
Benefits (type)
EI, disability, pension, etc.
Monthly benefits received
Monthly Benefit per month
Marital status
*
married, single, separated, divorced, etc.
Dependents (under 18)
*
how many dependents
Loan amount required (net)
*
Canadian dollars
Purpose of loan
*
debt consolidation, home renovations, etc.
Address(es) and existing mortgage balances of owned residential property
Address(es) and existing mortgages balances of owned commercial property
Additional comments
List debts to be consolidated and other important information here
Do you currently have any payday loans or payday loan collection(s)
*
Yes
No
Upload 2 last paystubs, last 3 months bank statements + 1 valid prov ID
*
Browse Files
search your computer or device
Cancel
of
Signature
*
On screen e-signature
Terms and Conditions
*
*
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