Debt Assessment

Take the first step to becoming Debt Free! One phone call

All information strictly confidential.

Debt Consolidation can help you:

Consolidate all your debts into one easy monthly payment
Lower your monthly repayments
Save you thousands of $$$ on interest payments
Become debt free quickly and safely

Even if you have a bad credit history!

Fill out the following form to receive your FREE assessment.
You are under no obligation when filling out this form and the information you enter is strictly confidential.

Fields marked with an asterisk * are required

*Name:
*Email Address:
*PostCode:
*Home Phone (inc. area code):
Work Phone (inc. area code):
Mobile Phone:
*Best times to call:
*Do you have a property? Yes No
If you have Property: Market Value $
Mortgage Balance $
*Do you have a secured car loan? what's this? Yes No     
If yes, how much do you owe?
*What is the total of your unsecured debts? what's this?
(Do not include your secured car loan)
 $
     (Minimum $10,000)
*How much debt do you want to consolidate? $
*Have you been Bankrupt in the last 13 years? Yes No
*Are any of your repayments overdue? Yes No
*Any credit cards over their limits? Yes No
*Are any of your debts with debt collectors? what's this? Yes No
*If you have payments overdue - Has any Creditor
requested full payment of the balance owing? what's this? 		Yes No     
If yes, how much is due now? $
*What is your weekly income after Tax? $
What is your Partners weekly income after Tax? $
I/we give permission for the above information to be forwarded to members of Debt Control's network of financial service providers for the purpose of debt consolidation.