Vermont Loan Companies



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	Vermont Mortgage Loan Services


	Select a Mortgage Loan Service Provider in Vermont. Or complete the online application below to receive a free no obligation loan request.


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General Information

	Borrower	Co-borrower (If different)
Full Name:
Address:
City, State, Zip
Home Phone:
Work Phone:
Best time to contact:
E-mail:
Social Security #:
Employers:
Employers' Phone Number:
Are you self employed ?	Yes No	Yes No
Length of Employment:
Gross Monthly Income:
Date of Birth:
My credit history is:	excellent good, but some lates some credit problems major credit problems don't know	excellent good, but some lates some credit problems major credit problems don't know

Loan Request

Amount Requested:
Type of loan:

Property Information

(This information needs to be filled out for property that is collateral for the loan)

Street Address:
City, State, Zip Code:
Estimated Present Value:
Year Purchased:
Original Price:
Type of Property:	Primary Second/Vacation Investment
Purchase Amount:

Loan Information

Mortgage Balances	Amount:	Held by:	Payment:
First:
Second:
Other:

Creditors	Amount Owed	Monthly Payment	Will you pay this off ?
	$	$	Yes No
	$	$	Yes No
	$	$	Yes No
	$	$	Yes No

Other monthly debts and information - please describe


	Collection Agencies


	Credit Repair Click Here


	Debt Negotiation Click Here


	Listed below are collection agencies throughout Vermont,


	If you are receiving phone calls from colection agencies, then explore your options! Take advantage of your homes equity or use a debt negotiation service.

A&S Collection Associates, Inc.
2847 VT RT 14
Williamstown VT 05679
Phone: 802-433-2100

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