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Consolidation Loan Form
Loan Amount
$10,000
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How are you planning to use these funds?
Select Purpose
Credit Card Consolidation
Debt Consolidation
Medical Expenses
Tax Settlement
Home Improvement
Auto Purchase
Small Business Funding
Education Costs
Other
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Ok great, now tell us a little about yourself (birthday)
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What is your home address?
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Current living arrangement?
Select Arrangement
Own home
Rent home
Living with relatives
Mortgage / rent payment?
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Annual income
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Let’s see if you qualify for any hardship options. What kind of debts are you aware that you have?
Credit cards
Medical bills
Bank loans
Payday loans
Tax debt
Student loans
Other
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Approximate unsecured debt amount?
$10,000
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