Debt Elimination & Wealth Creation Solution

Debt Elimination & Wealth Creation Solution

MORTGAGE ELIMINATOR APPLICATION

APPLICANT INFORMATION
FUll Name
Phone Email Address
Current Address
City Province Portal Code
Property Value Annual Property Tex
MORTGAGE INFORMATION
Name of Lender/Bank
Monthly Payment Amount Start Date
Amount Owing Interset Rate HELOC Amount
Open / Closed Term Remaining
INCOME INFORMATION
Position
Income Frequency:
weekly
monthly
Income Amount
Employer Other Income Annual Income
LIABILITIES INFORMATION
Total of All Other Monthly Payments:
Other Liabilities:
Any Other Information / Comments
SIGNATURES

I hereby freely submit this information to the ZERODEBTS so it can assess the viability of the Mortgage Eliminator Program for my personal financial situation. I also authorize the verification of the information provided on this form as to my credit and income.I understand that this is NOT A CREDIT APPLICATION and ZERODEBTS will not be obtainning a credit report on my behalf. I understand that the submitting of this application form dose not consitute an approval, agreement or contract intothe program and that despite the sending of this application, the program may not be able to help my personal situation. I have recieved a copy of this applicaton.

Signature of applicant: Date