What has caused you to contact us? (check all that apply)
Accident or illness
Income is reduced
Garnishee of pay
Repossession
Mortgage foreclosed
Collection agencies harassing
Driving license suspended
Divorce or separation
Legal trouble
Other:
What debts do you have? (check all that apply)
*
Unsecured Debt
Credit cards
Personal loans
Payday loans
Lines of credit
Bank overdrafts
Other:
Approximate total
unsecured
debts (note: this number should not include any secured debt listed below):
Select
Less than $5,000
$5,000 - $10,000
$10,000 - $20,000
$20,000 - $50,000
More than $50,000
*
Secured Debt
Student loans
Child or spousal support
Car loan
Taxes
Mortgage
Other:
An individual is not a suitable candidate for debt settlement unless they owe a minimum of $10,000 in
unsecured consumer debt
which includes credit card debt, unsecured personal loans (excluding student loans), unsecured lines of credit and bank overdrafts. A debt settlement plan is not suitable for dealing with secured debt such as mortgages and car loans and monies owing to the government—outstanding taxes, student loans and fines.
To return to the previous screen and update information regarding your debt, please click the 'Back' button.
Do you own any real estate?
Do you own any real estate?
Yes
No
If so, are your mortgage payments in arrears?
Yes
No
Do you own a car or truck?
Yes
No
If so, are your loan payments in arrears?
Yes
No
Do you have any other assets valued at over $1000?
Yes
No
If so, please describe them:
What kinds of income do you have? (check all that apply)
*
Full-time job
Part-time job
Retirement pension
Child or spousal support
Social Assistance
None
Other:
Estimate Total Annual Income: $
Select
$0 - $10,000
$10,000 - $20,000
$20,000 - $50,000
More than $50,000
Debt settlement is likely not a suitable option for a person who is unemployed, whose primary source of income is social assistance, or whose annual income is less than $20,000. In these circumstances an individual is typically judgment proof and most creditors will likely be reluctant to sue them.
To return to the previous screen and update information regarding your income, please click the 'Back' button.
Please provide your family information.
Your marital status:
Single
Married
Common-Law
Separated
Divorced
Widowed
Number of dependents (including applicant):
Please provide your contact information below.
Be sure to enter a valid phone number
so we can get back to you.
First Name:
*
Last Name:
*
We can phone you back at these times: Mon. - Fri. 9 am to 10 pm
Phone:
*
Time to call:
Select a time
9:00 a.m. - 12 p.m.
12 p.m. - 3:00 p.m.
3:00 p.m. - 7:00 p.m.
7:00 p.m. - 10:00 p.m.
Email:
Province:
*
City:
Message:
I agree to the
Terms & Conditions