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[]
[]
[{"$nulls":3},"Date:"]
[{"$nulls":3},"Expressions Customer ID #:"]
[{"$nulls":5},"(A-Airdrie     C-Calgary)"]
[]
["Full Name: ","insert name here",null,"Address:"]
["City:",null,null,"Postal Code:",null,"Phone #:"]
["Employer Name:",null,null,"Job Title:"]
[]
["Full Name: ","N/A",null,"Address:"]
["City:",null,null,"Postal Code:",null,"Phone #:"]
["Employer Name:",null,null,"Job Title:"]
["Personal Net Worth"]
["ASSETS"]
["CASH & INVESTMENTS "]
["TYPE","DESCRIPTION",{"$nulls":4},"VALUE"]
[{"$nulls":12},"Checking","Motor Vehicle","Primary Residence"]
["Checking",{"$nulls":11},"Savings","ATV","Vacation Property"]
[{"$nulls":12},"Investment","Watercraft","Rental Property"]
[{"$nulls":12},"Other","Other","Other Residence"]
[]
[]
[{"$nulls":5},"TOTAL CASH & INVESTMENTS",{"$f":"SUM(G18:G23)","v":{"v":0,"d":"$0.00"}}]
[]
["PERSONAL PROPERTY TYPE"]
["TYPE","DESCRIPTION",{"$nulls":4},"VALUE"]
[]
[]
[]
[]
[]
[{"$nulls":5},"TOTAL PERSONAL PROPERTY",{"$f":"SUM(G28:G32)","v":{"v":0,"d":"$0.00"}}]
[]
["REAL ESTATE OWNED"]
["TYPE","ADDRESS",{"$nulls":4},"VALUE"]
[]
[]
[]
[]
[]
[{"$nulls":5},"TOTAL REAL ESTATE VALUE",{"$f":"SUM(G37:G41)","v":{"v":0,"d":"$0.00"}}]
[]
[{"$nulls":5},"Total Assets",{"$f":"SUM(G24+G33+G42)","v":{"v":0,"d":"$0.00"}}]
["LIABILITIES"]
["PERSONAL LOANS & CREDIT CARDS"]
["BANK","DESCRIPTION",{"$nulls":4},"BALANCE"]
[]
[]
[]
[]
[]
[]
[{"$nulls":5},"TOTAL PERSONAL DEBT OWING",{"$f":"SUM(G48:G53)","v":{"v":0,"d":"$0.00"}}]
[]
["LAND SECURED LOANS"]
["TYPE","ADDRESS",{"$nulls":4},"BALANCE"]
[]
[]
[]
[]
[{"$nulls":5},"TOTAL LAND SECURED LOANS",{"$f":"SUM(G58:G61)","v":{"v":0,"d":"$0.00"}}]
[]
["OTHER DEBT"]
["TYPE","CREDITOR",{"$nulls":4},"BALANCE"]
[]
[]
[]
[]
[{"$nulls":5},"TOTAL OTHER DEBT",{"$f":"SUM(G66:G69)","v":{"v":0,"d":"$0.00"}}]
[]
[{"$nulls":5},"Total Liabilities",{"$f":"SUM(G54+G62+G70)","v":{"v":0,"d":"$0.00"}}]
[{"$nulls":6},"Sum of Long-term and current"]
[]
["SUMMARY"]
["ASSETS",null,null,"LIABILITIES"]
["Cash & Investments",{"$f":"G24","v":{"v":0,"d":"$0.00"}},"Personal Loans & Credit Cards",null,{"$f":"G54","v":{"v":0,"d":"$0.00"}}]
["Personal Property",{"$f":"G33","v":{"v":0,"d":"$0.00"}},"Land Secured Loans",null,{"$f":"G62","v":{"v":0,"d":"$0.00"}}]
["Real Estate",{"$f":"G42","v":{"v":0,"d":"$0.00"}},"Other Debt",null,{"$f":"G70","v":{"v":0,"d":"$0.00"}}]
[]
["Total Assets",{"$f":"SUM(B77:B79)","v":{"v":0,"d":"$0.00"}},null,"Total Liabilities",{"$f":"SUM(E77:E79)","v":{"v":0,"d":"$0.00"}}]
[]
[{"$nulls":3},"NET WORTH",null,{"$f":"SUM(B81-E81)","v":{"v":0,"d":"$0.00"}}]
[{"$nulls":5},"Total Assets minus total liabilities"]
[]
[]
[]
["CONSENT FOR CREDIT CHECK"]
[]
["I,",{"$f":"B7","v":"insert name here"},"and",{"$f":"B11","v":"N/A"},"give ATB Financial permission to pull a credit "]
[null,"check in order to obtain loan financing."]
[]
[]
[null,{"$f":"B90","v":"insert name here"},null,null,{"$f":"D90","v":"N/A"}]
["By signing this application, the applicant listed above (\"you\" or \"your\"): (i) Certifies that the information provided above and any further information provided or to be provided is true and complete and you acknowledge that Alberta Treasury Branches (\"ATB Financial\") is relying upon such information in evaluating whether to extend you credit and in extending you credit; and (ii) Consents to ATB Financial collecting, using and disclosing your personal information in accordance with ATB Financial’s Collection, Use and Disclosure Statement (\"Privacy Statement\"), a copy of which may be obtained at ATB Financial’s website, www.atb.com or at any branch. In particular, you consent to ATB Financial or any service provider, on its behalf, obtaining credit, financial and related personal information about you (including a consumer or credit bureau report) from any credit reporting agency and others to verify identity and establish credit worthiness. Any remaining balance is to be remitted against the loan and will be considered an early repayment and not as a scheduled payment.  It will be reduce the balance and amortization period for the loan (including total interest paid), but will not reduce the payment amounts. ®ATB Financial is a trade name/registered trademark of Alberta Treasury Branches. (02/15)"]

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