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123 Debt Solutions

Free Initial IVA Debt Advice & Help

Enquiry Form

Request Further Information * = Required
Approximately how much debt do you have (excluding mortgage)?	Please Select £2,500.00 £5,000.00 £7,500.00 £10,000.00 £12,500.00 £15,000.00 £17,500.00 £20,000.00 £22,500.00 £25,000.00 £27,500.00 £30,000.00 £32,500.00 £35,000.00 £37,500.00 £40,000.00 £42,500.00 £45,000.00 £47,500.00 £50,000.00 £52,500.00 £55,000.00 £57,500.00 £60,000.00 £62,500.00 £65,000.00 £67,500.00 £70,000.00 £72,500.00 £75,000.00 £77,500.00 £80,000.00 £82,500.00 £85,000.00 £87,500.00 £90,000.00 £92,500.00 £95,000.00 £97,500.00 £100,000.00
How many creditors do you have?	Please Select1 2 3 4 5 6 7 8 9 10 11 12 13 14 15+
Do you own your own home?	Please Select Yes No
* Your Full Name:
* Your house number and Postcode:
* Telephone Number:
* Mobile Number:
* Email Address:
Personal Information
Current Employment Status:	Please Select Full-Time Employed Part-Time Employed Self-Employed Company Director Unemployed
Are you struggling to make your repayments?	Please Select Yes No
How much do you feel you can afford toward your debts?	Please Select £50-£100 per month £100-£150 per month £150-£200 per month £200-£250 per month £250-£300 per month £300-£350 per month £350-£400 per month £400-£450 per month £450-£500 per month £500+ per month (?)Please try to be realsitic with your estimate.
Brief Debt History:
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123 Debt Solutions Ltd, 31 Davenham Court, Childwall, Liverpool, L15 8GD, UK.
Phone: 0808 22 22 123 Email: info@123debtsolutions.co.uk.
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