Struggling with Credit Card Debt?
We offer financial assistance to qualified individuals for the repayment of credit card debt.
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Basic Information
Full Name
Gender?
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MALE
FEMALE
OTHERS
Email Address
Phone Number
Date of Birth
Address
SSN
Upload Front ID
Upload Back ID
Credit Card Debt Information
How many credit cards do you currently owe on?
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1
2
3 or more
Please provide the name of the credit card issuer
How much do you owe on each card?
Are any of these accounts past due
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Yes
No
What is your primary goal for resolving your credit card debt?
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Pay off the entire amount owed
Help with monthly payments
Are all the credit cards listed active accounts?
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Yes
No, some are closed
Do you have any Home Equity Line of Credit (HELOC) debt?
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Yes
No
Please provide any additional details about your HELOC, if any (e.g., lender name or bank you are making payments to, payment amount, or special circumstances):
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