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First name: Last name: Est total unsecured debt: (credit cards, unpaid bills, total loans, rent, etc) - whole numbers only please. Est total secured debt: (mortgage, car loans,etc) - whole numbers only please. What is your employment status: Employee Self Employed Working Director Home Maker Unemployed Retired Are you a home-owner/home-buyer: Yes No Do you own a motor vehicle? Yes No Is the vehicle encumbered? Yes No Important: Please do NOT proceed to the next page if your enquiry is not genuine. This is a free service ONLY for members of the Australian public making genuine enquiries for debt help. By proceeding to the next page you are confirming that the information that you have provided above is complete and accurate and that you wish to receive a free debt analysis sourced from a big selection of Australia`s leading and best rated credit repair specialists.

This website is owned and operated by Clark Family Pty Ltd (as Trustee for the Clark Family Trust) 43 Larch Street Tallebudgera QLD 4228, A.C.N. 010281008, authorised credit representative of Saccasan Pty Ltd, Australian Credit License 386297. Visit the ASIC website for additional licensing information.

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