DEBT EVALUATION SHORT FORM

Goth and Company Ltd. respects your privacy and will adhere to all the standards and practices required by Government of Canada. This evaluation form, when submitted, will be used by the licensed professionals at Goth and Company to assist in determining a suitable debt reduction solution. Please fill out this form to the best of your knowledge and to the best of your abilities. Missed or omitted information will easily be reviewed and completed during the private in-person consultation.
This 4 section application form will take approximately 15 minutes to complete and is NOT a document that can be saved or stored. Should you prefer to complete our Detailed Evaluation Form please click here.