Are you eligible?

To see how the Impact Debt Settlement program can help you, just fill out this questionnaire.  We will let you know immediately whether and how we can help you.  Please use exact numbers if possible, or provide your best estimate. 

Estimated amount of unsecured debt you owe:	Example: 155.33.
How much can you afford to pay every month?	Example: 200.00.
Are you current, past due or falling behind?	Please make a selection Current Past Due Falling Behind

Are you paying at least Value each month?	Yes     No
Are you still using these accounts?	Yes     No
Are any of the interest rates on your accounts lower than 10%?	Yes     No

	Are creditors calling you?	Yes     No
	Are you being charged late or over the limit fees?	Yes     No

What do you need help with?

Please select one Lowering payments Getting out of debt quicker Stop harassment by creditors Other

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