Debt Direct Ltd is conducting a survey on what help people require as a result of the credit crunch. By completing the survey, a financial solution may be at hand.

Survey

1	What is your current status in the home:	Owner Tennant
1a	Current Mortgage	£
	Property Value	£
	Any Arrears	£
2	Time at this address, less than 3 years?	Yes No
3	Are there any second charges on the property?	Yes No
	How Much?	£
4	Are there any early redemption penalties attached?	Yes No
	How Much?	£
5	What is your total unsecured debt? (credit card, loans etc)	£
6	How many creditors?
7	Do you have any CCJs?	Yes No
8	Single / Joint monthly income?	£
9	Give an estimate of your monthly outgoings.	£
10	Are you struggling to service your combined mortgage and debts?	Yes No
11	Looking for a financial solution to resolve your debts and / or mortgage arrears?	Yes No
12	Are you considering an IVA?	Yes No
13	Would you consider an IVA alternative?	Yes No
14	Do you have any pending court judgements or winding up partitions?	Yes No
15	Do you have pending problems / issues with the Inland Revenue, Customs & Excise, PAYE?	Yes No

Name:

Address:

Telephone:

Email:

All information given is held on a private and confidential basis and will be shared with no-one


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