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LOAN APPLICATION FORM

Loan Details

Please enter the amount of money you want to borrow

Between $1,000 and $50,000

Please enter the amount of money you want to borrow.

Select Amount to borrow

Personal Information

Please fill up your personal information below

XXX-XXX-XXXX
Example: H1H 1H1

Is this a smartphone?

Information

Credit Score?

Marital Status

Married Information

Does Your Spouse Work?

Dependent(s) Information

Dependent(s) Information

Employment

Previous Employment?

Please Contact our office at 844-733-5024 or send an email to info@cash-lender.ca for more information.

Residence Information

Assets

Collateral is Required for “Secured Loans"

Are you an asset owner?

(If you own multiple assets, you can choose more than one asset)

Check which you have

Your Asset(s) Info:

Car

Year of your vehicle
Company of the vehicle
Enter the Approximate Kilometers on your vehicle
Is your vehicle clear of any liens or loans?

When Balance Paid in Full?

Home

Date of Purchase

Additional Information for Home Owner

Renovation Details

Walls

Windows

Roof

Bathroom

Kitchen

Floor

Deck

Other Renovations

Mobile Home

Date of Purchase

Year of your mobile home
Manufacturer of your mobile home

Date of Purchase

Trailer

Year of your trailer
Company of your trailer

Land

Date of Purchase

example: facebook.com/yourid or twitter.com/yourid