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You are here: Home / Debt Relief Consultation Form

Debt Relief Consultation Form

Debt Relief Consultation

Step 1 of 13

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Please fill out the following form to schedule a time to consult with your debt expert, Charles J. Phelan. The more information you provide, the better I can tailor my feedback, rather than spending our time gathering details you can share in advance.

I would like to talk with Charles about consolidating my credit card and other bills into one lower monthly payment
I want to settle credit card and other debts for less than what is owed.
I am current with my payments
I would prefer to have a professional negotiate the settlements for me.
I have money to settle debts now.(Required)
I need help with a collection account in the courts.
I would like to learn more about the benefits of bankruptcy
I need help with student loan debts

Your Details

Name(Required)
My Debts
Creditor/Debt Collector
Balance
Date Last Paid
 
You can use the + sign to the right of the last paid date to add as many accounts as you need to. List out the names of the creditors/debt collectors you want help with, the balance on each account, and if you are already late, when you stopped paying. This will save data entry time during the phone consult.
If you are dealing with a collection law firm, or being sued on any of the listed accounts, call that out here by letting us know which account, the name of the law firm involved, and when you were served any legal documents. This is also a great place to outline additional details about your accounts, and your situation.
What is it that brought you to the point of wanting to talk with a debt expert about your options?

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ZipDebt = Fast Relief

Debt settlement is just as much about managing risk as negotiating savings. The 36-48 month programs offered by most debt companies have high risk for collection lawsuits. It’s far more effective to “fast track” debt settlement in 12-18 months.

ZipDebt = Affordable Help

Instead of paying fees as high as 20-30% of your TOTAL DEBT, it’s far more affordable to work with a professional consultant who only charges 20% of the SAVINGS achieved via the negotiations. This approach saves you money and creates a win-win scenario.

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