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Debt Relief
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Take Control of Your
Debt.
Professional debt relief solutions tailored to your financial situation
Full Name
Phone Number
Email Address
State
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Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip Code
Apprximately how much unsecured debt do you owe?
< $5k
$5k - $10k
$10k - $20k
$20k+
What kind of debt do you have?
Credit Cards
Medical Bills
Personal Loans
Payday Loans
Tax Bills
Other
Have you missed payments in the last 6 months?
Yes
No
Estimated Credit Score
Poor (<600)
Fair (600 - 659)
Good (660 - 719)
Excellent (720+)
What is your current employemtn status?
Employed full-time
Employed part-time
Self-Employed
Unemployed
Retired
Approximate monthly gross income?
< $2k
$2k - $4k
$4k - 6k
$6k - $8k
$8k - $10k
$10k+
How soon are you looking to reduce or settle your debt?
Immediately
Within 30 days
1 - 3 months
Just researching
Have you filed for bankruptcy in the last 5 years?
Yes
No
Are you interested in a loan or negotiation program?
Loan
Negotiation
Not Sure
Are you a homeowner?
Yes
No
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