Gain Control Over Your Finances
Debt Arbitration
Designed to reduce the principal balance of debt through one time settlements and payments. This program can be utilized in conjunction with home equity loans or where you have a partial lump sum available. The purpose of the program is to help avoid bankruptcy through compromise with creditors.  We are paid only when we save you money based on $4 for every $10 of payoff reduction.  Net reductions of 40% are common.		 Debt Melt Down ä
Designed for the person without the ability to pay a lump sum or borrow on their home equity.  If you are determined to free yourself from serious credit and debt problems, Debt Melt Down may be for you.  By reducing the principal balance of debt through one time settlements paid over a time period of I8 to 30 months. This program is ideal for the debtor who is unable to come up with a lump sum to eliminate the debt through Debt Arbitration.  		 Home Buyer Fitness Program ä
A program designed for individuals desiring to purchase a home, but faces tough debt and credit challenges that inhibit reaching their goal. The aim of the program is to enable you to purchase a home by rehabilitating your financial positions and then your credit profile.  Typically, it takes 12 to 18 months to properly prepare you for home ownership.
Select Program:  Debt Arbitration    Debt Melt Down ™    Home Buyer Fitness
FIRST NAME:
 LAST:
SPOUSE:                
Mailing Address and Social Security:  Will be collected later by phone for security reasons.
CITY:
 STATE:                      ZIP:

PHONE:

WORK PHONE:
SPOUSE'S WORK PHONE: E-Mail:
DO YOU:
RENT
OWN 		VALUE (IF APPLICABLE):
MORTGAGE BALANCE(S) (IF APPLICABLE):
  
MARITAL STATUS:
 NUMBER OF DEPENDENTS:

MONTHLY INCOME EXPENSES

NET INCOME:
 OTHER INCOME:
SPOUSE INCOME:
 OTHER INCOME:
HOUSING PAYMENT:
TAXES (IF NOT INCLUDED):
HOMEOWNERS/RENTERS INSURANCE (IF NOT INCLUDED):
UTILITY BILL(S) TOTAL:
TELEPHONE:
FOOD (GROCERIES, TOILETRIES, DINING OUT, CIGARETTES, ETC.):
ENTERTAINMENT:
 CABLE:
CLOTHING (PURCHASE & CLEANING):
 INSURANCES (LIFE, AUTO, MEDICAL):
TRAVEL (GAS, TRAIN, TOLLS):
 CHILD CARE:
SCHOOLING (COLLEGE, TUTORS, ETC):
 CHARITY:
ALIMONY/CHILD SUPPORT:
 MEDICAL/DENTAL:
CAR/HOME MAINTENANCE:
OTHER:

SECURED DEBTS (MORTGAGE, CAR, BOAT, IRS, STATE TAX, ETC.)

CREDITOR NAME Security Type BALANCE PAYMENT Months Behind

UNSECURED DEBTS (CREDIT CARDS, MEDICAL, ETC.)

CREDITOR NAME BALANCE Minimum Payment Months Behind COLLECTOR (IF ANY)

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Revised: October 24, 2005