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Amansasd Financial Services Inc. 2nd Floor 5303 91st Edmonton AB T6E 6E2 APPLICANT Title Mr. Mrs. Ms. I authorize the receipt and exchange of information about me/us with your affiliates from time to time as you deem appropriate and to the sharing or exchange of reports and information with the credit reporting agencies credit bureaus mortgage insurers and/or any other person corporation firm or enterprise with whom I have or propose to have a financial relationship. Signature of Applicant...

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