DETAILS OF DEBT AND FINANCIAL OBLIGATIONS:
 1. What is the total amout of maoney you receive per month
    (all income sources included)?
 2. What is your total debt / money you owe at present?
 3. Do you have any court judgements?
DETAILS WERE WE CAN CONTACT YOU TO DISCUSS ASSISTING YOU?
    Contact Telephone Number:
    Fax Number:
    E-mail Address:
    Title: Other:
    First Name:
    Surname:
    Area in which you live:
    Comments:

To find out more about our debt counselling services, our 3 EASY STEP PLAN to resolve your debt problems visit our website: www.legalsolutions.co.za

www.legalsolutions.co.za