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Name:

Primary Email

Primary Phone

Date of Birth

SIN/SSN

Address

City

Province/State

Postal/Zip

Rent or Own

Rent

Own

Other

Current monthly rent/mortgage

How long have you lived at your current residence?

Less than 3 years

More than 3 years

Previous address IF less than 3 years

Employer Name

Job Title

Length Employed

Previous Employer, IF less than 2 years

Current Monthly Income

Other Income Source

Other Income Amount

Message:

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I certify that I have provided Melcon Integrity Consultants with true and accurate information within this application. By submitting this form, I authorize any Melcon Integrity Consultants expert to begin credit review of my application in effort to match me with a best lending solution for my needs. I understand Melcon Integrity Consultants will share my information, in confidence to their partnered lenders, financial institutions, and/or other third parties in order to fulfill my loan request.

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All Melcon Integrity Consultants loan applications are subject to credit and underwriting approval (O.A.C.) Melcon Integrity Consultants is a broker service whom offers various financial services globally, NOT a lender. Any loan approved thru Melcon Integrity Consultants partnered lenders, financial institutions and other third party providers, adhere to the Canadian and US laws and regulations as well as are bound by EACH approving parties terms and conditions thereafter an approval is granted.

Loans range from $500 to $300,000 with terms available from four (4) months to sixty (60) months and possibly longer, with exception. APR’s range from 2.99% to 49.96% and will depend on our partners assessment of your credit profile and their discretion. Outstanding debts will be pursued to the full extent of the law. Our lenders employ fair collection practices.

By submitting this application, you are certifying all information to be complete and true to the best of your ability. You acknowledge you are only applying for credit on behalf of yourself. You acknowledge and grant permission for Melcon Integrity Consultants to review your application in confidence, complete a credit investigation via credit check to Equifax and/or TransUnion and make recommendations of lenders, financial institutions, or other third party lenders whom are best suited for my application request.

You are not permitted to move forward with an application with Melcon Integrity Consultants if you do not adhere to and agree with the terms and conditions outlined.

TERMS & CONDITIONS: I certify that I have provided Melcon Integrity Consultants true and accurate information within this application. By submitting this form, I authorize any Melcon Integrity Consultants expert to beginning credit review of my application in effort to match me with the best lending solution for my needs. I understand Melcon Integrity Consultants will share my information, in confidence to their partnered lenders, financial institutions, and/ or other third parties in order to fulfill my loan request.

I have read and agreed to these terms and conditions reviewed.

I consent to Melcon Integrity Consultants to perform a credit check to help find the best solution for my request.

Opt-In

I have read and agree to the terms & conditions reviewed. I consent to Melcon Integrity Consultants to perform a credit check to help find the best solution for my application.