The Debt Clinic

Let's Make Your Finances Better

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First Name:
Surname:
Address:
Post Code:
Phone Number:
Mobile Number:

How much would you like to borrow?

What is the value of your home?

Value of Debts secured against your home?

Are you a home owner?Yes No

When is the best time to call?
Date of Birth:

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E-mail Address:

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Debt Calculator: Step 1

Complete all sections then view a printable page containing your financial statment and pro-rata payments.or submit your details to The Debt Clinic for a free, no obligation, financial assessment.

Debt Calculator

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Enter all numbers without "£" signs or "." full stops.

Income *Monthly Net pay
(after Tax):
Other monthly income
(after Tax):

Expenditure Mortgage:
Rent:
Council tax:
Water rates:
Electricity:
Gas:
Land Line Telephone
divide quarterly bill by 3:
Mobile:
Internet & Television:
Housekeeping:
Car: Petrol:
Car: Insurance:
Car: Servicing:
Car: Road tax
divide yearly amount by 12:
Car: Hire purchase:
Public Transport:
Childcare / Babysitting:
Smoking:
Maintenance/CSA:
Other Monthly Expenditure:

Creditors

Please specify monthly payments any other creditors that you may have.

Payments to Credit Cards:
Loan repayments:
Payments to other Creditors:

Continue...

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