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Edwin Popovitch - Yves Rigaux
CBFA insurance brokers: 40086A
CBFA credit brokers: 045740A

CEPIAC, a company formed by E. Popovich and Y. Rigaux provides you with help and advice on all matters related to mortgage products.
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Credit
Study

Please complete this questionnaire and we will reply as soon as possible.
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Recovery
Study

Please complete this questionnaire and we will make you a recovery offer as soon as possible.
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Please remember that our interventions are paid by credit institutions.
They are therefore free transactions for you and made independently from those institutions. Some fees are charged by credit companies. They will be explained to you before any introduction of file.

puceCredit Study

T h a n k  y o u  f o r  y o u r  t r u s t

Please complete this questionnaire and we will reply as soon as possible.

Requestors

One borrower        Two borrowers

Last Name borrower  (mandatory)

First name borrower  (mandatory)

Borrower date of birth (mandatory):

Address (optional):

Zip code (optional):

Locality (optional):

E-mail (optional):

Private phone (advised):

Office phone (advised):

GSM (advised):

e-mail (advised):

The name of your insurance broker:

Purpose of the credit (mandatory):

Purchase region:

Number of children (mandatory):



Financing plan

Your Age of the building:
 (more than five years?)

yes/no

Amount of assessment:

In case of acquisition and or of transformation

In cas of construction

Acquisition price:
€

Land purchase price outside fees):
€

Transformation cost free of VAT
€

Construction cost free of VAT:
€

Owners' equity:
€

Owners' equity:
€



Revenues

Borrower professionals:
Other revenues Nature :
Current charges (PAT, PH, Financings)



Professional status (employee, worker, independent)

Borrower (mandatory)



the requested credit

Desired duration:
ans

Rate type (fixed, reviewable):

Destination (professional or private):

 
Please fill in all fields by a yes/no answer or 0 or other number

  or by e-mail  


 

 

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