Debt Analysis with Personalized Creditor Letter
About You
Your Name:
Address (optional):
City:
State:
Zip Code:
Phone Number (optional):
E-mail (optional):
About the Creditor
Creditor Name:
Address:
City:
State:
Zip Code:
About the Debt
Do you agree you owe this debt?
No
Yes
No, it was someone else's debt
Yes, but I can't afford it
I owe the debt jointly with someone else
Yes, but I can't afford to pay it, my income is solely from a protected source, and I do not own any assets that could be seized.
What kind of debt is this?
Credit Card
Medical Debt
Other Consumer Debt
Mortgage
Business Debt
Federal Student Loan
Taxes
Child Support
Criminal Fine or Restitution
Other
When was the debt incurred?
Date:
OR
I don't know.
Never.
When was your last payment?
Date:
OR
I don't know.
Never.
Has the creditor sued you to collect this debt?
No
Yes, the lawsuit is pending.
Yes, the creditor already has received a judgment against me.
I don't know
Have you felt threatened or harassed by this creditor?
No
Yes
I don't know
Is the debt secured?
No
Yes
Have you declared bankruptcy since incurring this debt?
No
Yes, the bankruptcy is currently pending.
Yes, I received a discharge from the debt because of the bankruptcy.
Yes, but I did not a discharge from the debt because of the bankruptcy.
No, but I am considering filing for bankruptcy
No, but I would like more information about bankruptcy
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