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Free Assessment Quotation

For a free no-obligation quotation on how we can help your situation, please take some time to fill out the form below as accurately as you can.
We'll then assess your situation and explain how we can help.

Fill in the form and press the submit button - or alternatively, you can print out this page and send to the address at the bottom of the page.

Your Name:
Your Email:
Contact Telephone No.
Contact Fax No.
Your Address:
Your Interest:
Individual Voluntary Arrangement (IVA)
Debt Management Plan (DMP)
Not Sure - Please contact me/us to discuss
Your Total Monthly Income
Your Wages/Salary
Partners Wages/Salary
Job Seekers Allowance
Maternity Benefit
Income Support
Family Credit
Pension
Child Benefit
Disability Allowance
Maintenance
Lodger
Investments
Other (please specify)
Other (please specify)
Other (please specify)
Your Total Monthly Expenditure
Rent/Mortgage
Rent/Mortgage Arrears
Council Tax
Council Tax Arrears
Water Rates
Endowment Policy
Life Insurance
House Insurance
Gas
Gas Arrears
Electricity
Electricity Arrears
Telephone
Telephone Arrears
Housekeeping/Food
TV Licence/Rental
Child Care
School Meals
Car Repayments
Car Tax/Insurance
Petrol/Diesel
MOT/Repairs
Public Transport
Clothing
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Monthly Payments to Creditors
Creditors Name
Outstanding Balance
Monthly Repayment
Creditors Name
Outstanding Balance
Monthly Repayment
Creditors Name
Outstanding Balance
Monthly Repayment
Creditors Name
Outstanding Balance
Monthly Repayment
Creditors Name
Outstanding Balance
Monthly Repayment
Creditors Name
Outstanding Balance
Monthly Repayment
Creditors Name
Outstanding Balance
Monthly Repayment
Creditors Name
Outstanding Balance
Monthly Repayment
Please double check all your entries, and in particular
your email address, before pressing the submit button.


If you prefer to send the form by post, please print it out and post to:

Debt BustersLtd
PO Box 8667
SLEAFORD
Lincolnshire
NG34 4AL

  
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Debt Busters is a licensed, independent debt adjusting company. We are not backed by any financial institution – which means that we work only for you!
IVA specialists and debt management consultants