In School & In Debt

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By Mail:
ZERO BALANCE FINANCIAL
2170 Bromsgrove Rd, Unit 200
Mississauga, ON
L5J 4J2 Canada

By Telephone: 905-403-0907 Fax: 905-823-2656
Office Hours Monday to Friday 10am to 4pm EST.

By Email:

Application Form.
This application is designed to be completed by any STUDENT applicant(s) who is requesting a financial product / service through ZERO BALANCE FINANCIAL, but is provided by a Canadian Financial Institution. Applicants should complete this form as applicable.

I. TYPE OF PRODUCT / SERVICE REQUIRED

	Auto
	Business Financing
	Credit Report
	Debt Collection
	Delinquent Student Loans
	Employment
	Legal
	Loan
	Mortgage

Do you have Notice of Assessments for Taxes?
Enter the year(s)
eg. 2004, 2005, 2006

Are you a Property Owner?

yes no

Are you Employed?

yes no

Are you Self Employed?

yes no

Are you a Past Bankrupt?

yes no

II. PURPOSE OF CREDIT FACILITY

	Business
	Clean Up Credit
	Education
	Family Emergency
	Pay off Student Loan(s)
	Travel
	Other (explain):

Briefly explain your present financial situation:

Are you presently in collections or being sued? Yes (explain) No

III. BORROWER INFORMATION (Applicant)

Full Name:	(Required)
Date of Birth:	eg. day month year
Statuse:
Dependents:	No. Ages: eg. 5, 6, 12
Address:	apt. no
City:
Province:
Postal:
Own Rent No.Years:
Telepone:
Cell No.
Email:	(Required)

IV. EMPLOYMENT INFORMATION (Applicant)

Name of Employer:
Address:
No. Years on this job.
Monthly Income.

I certify that the information provided in this application is true and correct as of the date set forth opposite my Initials on this application and acknowledge my understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties in accordance with Canadian Laws. I authorize Zero Balance Financial or its agents to obtain credit report(s) and understand that entering our names below and submission via internet is legally the same as a personal signature.

(*) Required Fields

*Applicant Signiture: *Date:

The cost of going to University costs a tremendous amount. Getting student loans is easy but paying them back is hard. I was worried about carring this kind of debt after graduation. I puchased "In School and In Debt" and now have a better understanding on how to graduate with little to no debt.

Thanks
Stephanie, Ottawa

"In School and In Debt" is a great book. I will be able to graduate with no debt."

Mitch, Edmonton, AB

My student loans were growing and I was worried that I would be paying for them for many years after graduating. I read the book "In School and In Debt" and now I have control over my student loans.

Thanks
Jeff, Toronto