ODS Client Intake Form

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905-312-8882

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CLIENT FORM

Client Form

Name:

Email:

Phone:

Address:

Apt/Unit/Suite:

Province/Territory:

Postal Code

Type of Filing:

Your Date of Birth

Spouse's Date of Birth

Name of Child

1st Child's Date of Birth

Name of Child

2nd Child's Date of Birth

Rental Properties:

Sale of Principal Residence in 2023:

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HOME
- MEET DAVID
WSIB
DTC
FINANCIAL PLANNING
E-FILING
ODSP NEWS
TESTIMONIALS
CLIENT FORM
CONTACT

David H. Blascik, CFP

Disability Consultant

848 Main Street East Hamilton Ontario L8M 1L9

905-312-8882

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