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					Capital City Credit.                                                    Free Summary Application Form
Debt Consolidation, The Mortgage Eliminator, Insurance      Phone: 866.324.4888, Fax: 613.232.7463
Website: CapitalCityCredit.Com                              Email: FreeSummary@CapitalCityCredit.Com

                     The Mortgage Eliminator – Free Fax-Back Summary Kit
       Thank you for taking the time to review and complete our Free Mortgage Eliminator and Debt Self
Evaluation Kit. What you are doing with this package is taking the first step to reducing the amount of Interest
and Payments you are currently making on your mortgage and other debts.

         To you, it means having greater cash flow, owning your home more quickly, and becoming debt free
faster than you previously thought possible.

       With the Capital City Credit Mortgage Eliminator Financial Plan there is No Money Down, No Upfront
Fees, or Obligation to Use our Service. If you Qualify, and Proceed with our Plan there are no fees paid Out Of
Your Pocket, we are paid through the new financing offer we prepared for you.

What’s Included in this Package:

    The Mortgage Eliminator Plan
    Mortgage Eliminator Application Form
    An Application Consent Form

It’s Easy to Get Started!
   1) Read over the Mortgage Eliminator Information Brochure, It will show you how we are different than
      dealing with the banks and other large inflexible financial institutions.

   2) Look over The Detailed Professional Summary, It will show how much you could save on a typical
      mortgage and your other debt load.

   3) Fill out the Mortgage Eliminator Application form. You may want to get out the papers on your existing
      mortgage and other debts to fill it out. It’s very important to enter all the required information. It should
      only take about 20 to 30 minutes.

   4) Complete and Sign the Application Consent form.

   5) Email The Mortgage Eliminator Application Form and Consent form directly to us at 613-842-8201.

    That’s all there is to it! Within 48 hours your financial services consultant will contact you to show you the
details of your Professional Mortgage and Debt Summary. You’ll see for yourself the thousands of dollars
difference our Mortgage Eliminator Plan makes!

    At that time, If you Qualify and decide to proceed with our plan to dramatically reduce your mortgage and
other debt, we will prepare all the necessary legal documents with a professional mortgage broker, real estate
attorney and your other creditors to protect your interests.

                            We look forward to serving you!
Capital City Credit.                                                   Free Summary Application Form
Debt Consolidation, The Mortgage Eliminator, Insurance     Phone: 866.324.4888, Fax: 613.232.7463
Website: CapitalCityCredit.Com                             Email: FreeSummary@CapitalCityCredit.Com

                                          The Mortgage Eliminator
        Here’s some valuable information that may help your and your family achieve financial stability and
eliminate debt faster in your household. The Mortgage Eliminator Plan can reduce the amount of time it takes
to pay off your mortgage and consolidate any debt you may have under much more favorable terms than you
may presently have.

WHAT WE CAN DO FOR YOU!
   1.   Reduce the amount of time it takes to pay off your Mortgage and Debt by 3 to 12 years.
   2.   Reduce the amount of Interest and Payments you are paying on your mortgage and other debt.
   3.   Cut your Monthly Debts by about $300 to $500 or more.
   4.   Put the money you save monthly back in your pocket or put it towards your debt.
   5.   Keep your monthly payment the same or reduce your monthly payment.

HOW MUCH IT COSTS
       You are under no obligation to see the difference our plan will make. There is no out of pocket
expenditure and your present debt payment obligations will not increase. We are paid out of the new financing
plan we prepare for you.


Some Hard Questions to ask Yourself about Borrowing Money
    Is a Bank, which is in the business of lending money for profit, going to tell you how to cut those
     profits? We can show you how!
   
    If A Lenders goal is to make as much money as possible on every transaction, Do you think they care
     about saving you money?

    Is there more than one way to negotiate the asking price for borrowed mortgage money? Absolutely!

    Is there anyone who can show you how to turn your mortgage into a financial management plan?
     We will show you how!

    Are you happy now, helping the bank get richer, or would you be happier if we help you with a financial
     management plan tailored to your specific requirements and needs?

        We Make it Real!

 The Unfortunate thing about YOU negotiating your mortgage with a Bank is
 that YOU are one person dealing with a large institution that is not flexible.
HERE’S HOW WE DO IT!
We have licensed Mortgage Brokers who negotiate with the banks everyday for millions of dollars on behalf of
our Clients. For You, this means the terms of the mortgage can become, through payment efficiency, a unique
financial tool, which can reduce the mortgage payback.

We achieve this by applying copyrighted financial management plans. By using this financial management
plan, it allows us to save thousands of dollars for YOU.

Our licensed Mortgage Brokers secure the required financing with only established mortgage lenders, (i.e. The
Royal Bank, National Bank, BMO). Once the transaction is complete, it is reviewed and closed by a
professional mortgage broker and real estate attorney. We make sure your interests are protected, and we
comply with Provincial and Federal Laws.

ENJOY YOUR MONEY!
Did you know that you have legally obligated yourself to pay around 150 percent interest? That’s right, you
are, in effect, paying one and a half times more for one house.

Wouldn’t you prefer to keep the extra cash in your own pocket?

Absolutely!

If you qualify for our program, you will end up paying less for your mortgage and other debt, in a much shorter
period of time. This means you will save thousands of dollars, and years of payments, which means more
money in your pocket, and less financial stress.

FIND OUT IF YOU QUALIFY
If you have property equity, and are creditworthy, we can help you. Fill out the attached Mortgage Eliminator
Application and fax it back to us or call. Remember, you are under no obligation to use our services and your
consultation and summary are free of charge!

SEE FOR YOURSELF
Add up for yourself the real cost of your mortgage.

                    1. Mortgage Balance at Purchase
                    2. Present Mortgage Balance
                    3. Principal to Date (#1 - #2)
                    4. Monthly Payment
                    5. Annual Payment
                    6. Years in Residence
                    7. Principal and Interest Paid to Date (#6 X #5)
                    8. Mortgage Interest Paid to Date (#7 - #3)
                    9. Original Amortization in Years
                    10. Total Cost Principal and Interest ( #5 X #9)
                    11. Total Obligated Interest Costs (# 10 - # 1)
Capital City Credit.                                                    Consultant:
Debt Consolidation, The Mortgage Eliminator, Insurance      Phone: 866.324.4888, Fax: 613.232.7463
Website: CapitalCityCredit.Com                              Email: FreeSummary@CapitalCityCredit.Com

                                Mortgage Eliminator Application Form
                                       Personal Information

       In order to process your application please include all the information required below print and fax both
this Mortgage Eliminator Application form (3 pages) and Application Consent form (1 page) to : 613.232.7463

               TELL US ABOUT YOU                                   CO-APPLICANT

First Name: ______________________________                         _______________________________
Last Name: ______________________________                          _______________________________
Address:         ______________________________                    _______________________________
City:            ______________________________                    _______________________________
Province:        ______________________________                    _______________________________
Postal Code: ______________________________                        _______________________________
S.I.N.:          ______________________________                    _______________________________
D.O.B.:          ______________________________                    _______________________________
Home Phone: ______________________________                         _______________________________
Work Phone: ______________________________                         _______________________________
Fax:             ______________________________                    _______________________________
Email:           ______________________________                    _______________________________
Employer:        ______________________________                    _______________________________
How Long: ______________________________                           _______________________________
If less than
three years: ______________________________                        _______________________________
Occupation: ______________________________                         _______________________________
How Long
in Industry: ______________________________                        _______________________________
Yearly Income: ____________________________                        _______________________________
Other Income: _____________________________                        _______________________________
Rental Income: ____________________________                        _______________________________
Have you ever been Bankrupt: Yes ____No____                        Yes ____No____
If yes, when discharged: _____________________                     _______________________________
How is your credit rating:
                    Excellent____Good____ Fair___                  Excellent____Good____ Fair___
Marital Status: Single___Common Law___                             Single___Common Law___
                  Married ___Divorced____                          Married ___Divorced____
Number of Dependents at Home: ______________                       _______________________________
How long have you lived there: ______________                      _______________________________
If less than three years
previous Address: __________________________                       _______________________________

__________________________________________                         _______________________________


My consultant is:____________________________ I was referred by:___________________________
Capital City Credit.                                                       Consultant:
Debt Consolidation, The Mortgage Eliminator, Insurance         Phone: 866.324.4888, Fax: 613.232.7463
Website: CapitalCityCredit.Com                                 Email: FreeSummary@CapitalCityCredit.Com

                                                         Assets
                       APPLICANT                                     CO-APPLICANT


Bank Name:            ____________________________                   ______________________________
Bank Address:         ____________________________                   ______________________________
Account Number:       ____________________________                   ______________________________
Current Balance:      ____________________________                   ______________________________
R.R.S.P.:             ____________________________                   ______________________________
L.I.R.A. (Pension from
previous employer) ____________________________                      ______________________________
Savings Bonds:        ____________________________                   ______________________________
Auto
Year/Make/Model: ____________________________                        ______________________________
Furniture:            ____________________________                   ______________________________
G.I.C. or other
Term Deposit:         ____________________________                   ______________________________
Other Assets:         ____________________________                   ______________________________
                      ____________________________                   ______________________________
                      ____________________________                   ______________________________

                                      Debts you would like paid in full
Lender                         Account Number            Balance     Monthly Payment    Interest Rate

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

_____________________          _______________           ________    _______________    ___________

Are you requesting a lump sum payment? Yes______ No_____ If Yes, How Much?_____________
Capital City Credit.                                                 Consultant:
Debt Consolidation, The Mortgage Eliminator, Insurance   Phone: 866.324.4888, Fax: 613.232.7463
Website: CapitalCityCredit.Com                           Email: FreeSummary@CapitalCityCredit.Com

1st Mortgage Financing Details                           2nd Mortgage Financing Details
Date of Purchase___________________________              Date of Purchase___________________________

Price at Purchase__________________________              Price at Purchase__________________________

Mortgage Balance at Purchase________________             Mortgage Balance at Purchase________________

Current Mortgage Balance___________________              Current Mortgage Balance___________________

Years of Amortization_______________________             Years of Amortization_______________________

Years Left to Pay:_________________________              Years Left to Pay:__________________________

Current Term in Years______________________              Current Term in years______________________

Open or Closed __________________________                Open or Closed __________________________

Interest Rate ____________________________               Interest Rate ____________________________

Annual Property Taxes______________________              Annual Property Taxes______________________

Payment (No Taxes Included)_______________               Payment (No Taxes Included)_______________

Method of Payment:                                       Method of Payment:
Monthly_____Bi-Weekly_____Weekly________                 Monthly_____Bi-Weekly_____Weekly________

Is Mortgage Insurance Included?                          Is Mortgage Insurance Included?
Yes____ No____ if yes how much___________                Yes____ No____ if yes how much___________

First Mortgage held by:_____________________             Second Mortgage held by:___________________

Mortgage Account Number:_________________                Mortgage Account Number:_________________

First Mortgage Renewal Date:_____/_____/_____            Second Mortgage Renewal Date:____/____/____

Is this a high ratio Mortgage? Yes____ No____            Is this a high ratio Mortgage? Yes____ No____

C.M.H.C. or                                              C.M.H.C. or
G.E. Capital Number:_______________________              G.E. Capital Number:_______________________

Penalty for Early Discharge:__________________           Penalty for Early Discharge:_________________
Capital City Credit.                                                       Consultant:
Debt Consolidation, The Mortgage Eliminator, Insurance         Phone: 866.324.4888, Fax: 613.232.7463
Website: CapitalCityCredit.Com                                 Email: FreeSummary@CapitalCityCredit.Com

                                                The Property
Was the Property ever listed? Yes ____ No____            If Yes, when? _______________________________

Previous Sale Price: _______________________             How long owned: _____________________________

Age of dwelling:________________________                 Annual taxes: _________________________________

Type of Home (check all that apply): Bungalow_____2 Story____ Split Level_ ____ Other ____________

Detached_______ Semi-Detached_________ Row Unit ________ (unit # ____) Condo______________

Construction: Stone ____Brick____ Frame ___Siding___ Other __________________________________

Garage: Yes__ _No___ Attached: Yes____ No____ Single ___ Double ____ Other ___________________

Square Foot Living Area __________________               Lot Size:______________________________________

Heating Type: ____________________________________________________

Total number of rooms: _______         Number of Bedrooms: _______            Number of Bathrooms: ________

Finished Basement: Yes ____No____                        No basement ______

Rural Property: Yes____ No____                           Septic System: Yes ____No____

Are there any upgrades? (Please indicate year completed)

Roof ______Windows _______Furnace _______Electrical _________Flooring ________ Painting ________

Are there any extras? Fireplace ______ Central Air________ Other__________________________________

Comments:



Estimated Current Market Value of Property: _____________________


Office Use: Appraiser name and phone no. _______________________________________

                                                          _______________________________________

                                                          ________________________________________
Capital City Credit.                                                  Consultant:
Debt Consolidation, The Mortgage Eliminator, Insurance    Phone: 866.324.4888, Fax: 613.232.7463
Website: CapitalCityCredit.Com                            Email: FreeSummary@CapitalCityCredit.Com



                                            Credit Check Consent


        I hereby take notice that Capital City Credit and their appointed Mortgage Brokerage Company will be
referring to a Consumer Reporting Agency respecting me/us containing personal Information and/or credit
information and I/we Hereby consent thereto and to the disclosure of such information to other grantors or
consumer reporting agency.

       Dated this __________day of ______________, 2004.

       Applicant First Name:            ______________________________

       Applicant Last Name:             ______________________________

       Applicant Signature:             ______________________________

       Co-Applicant First Name:        _______________________________

       Co-Applicant Last Name:         _______________________________

       Co-Applicant Signature:         _______________________________

				
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