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    Email Address

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    Title

    Company

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    Has your business been impacted by tariffs?

    What supports can the government provide?

      Full Name

      Email Address

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      Working with an Agent?

      Household Income

      Credit Score

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        How much unsecured debt do you have?

        Min $5000

        0%

        Are you behind on payments?

        12%

        How many creditors do you have?

        What types of debt do you have?

        25%

        What is your credit rating?

        37%

        What is your employment status?

        50%

        Are you a home owner?

        62%

        What is your property value?

        Min $5000

        What is your mortgage balance?

        75%

        Are you currently in a bankruptcy or consumer proposal?

        87%

        What is your postal code?

        What is your name?

        What is your email address?

        What is your phone number?

        Briefly describe your debt problem

        100%