Who is/was your debt counsellor?*
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Were married at the time you went under debt review and was the debt review application a combined application in the name of both parties (husband and wife) ?
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The approximate date you were placed under debt review
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Approximately when last did you make payments to the Payment Distribution Agency/Debt Counselor?
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Have you received any cancellation documentation from your debt counselor?
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Your income at the time you were placed under debt review was approximately
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Are you already making payments directly to your creditors?
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Any other information you want us to consider when conducting this evaluation?
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Field is required!