Financial Health Fair

Get Help

Need help getting back on track with your finances?

Having a Financial Health Fair Checkup is the first step!
This personal financial analysis is FREE -- and is provided with no obligation.

You'll see how you can save thousands of dollars in interest payments by paying off all
of your debt! Just fill out the secure form below. Then submit the online form to us
for your 100% confidential analysis.

This is the beginning of a solution!

Financial Health Checkup

Fill out completely for your FREE analysis
and recommendation.

Applicant: First: Last Name:

Co-Applicant: First: Last Name:

Street Address:

City, State, zip:

Telephone #:

- -

Private Fax #:

- -

Best time to call: morning    afternoon    evening

E-mail:

How did you hear about this site?

Category:

Please specify:

INCOME

Applicant INCOME: Monthly Gross: $ Monthly Net: $

Co-Applicant INCOME: $ Monthly Net: $

Other Household Income:

$     $      $

MONTHLY EXPENSES

Rent: $

Mortgage:       1st $       2nd $

Utilities: $ Insurance: $

Telephone: $ Fuel: $

Food: $ Child Care: $

Entertainment: $ Donations: $

Clothing: $ Legal Obligations: $

Other:

$

ASSETS

Savings, bonds, life insurance, etc. $

Mutual Funds, Pensions, etc. $

SECURED DEBTS

Creditor     Balance Owed     Monthly Payment     Interest Rate

Current

Vehicle: $$ Yes No

2nd Vehicle: $$ Yes No

Loans: $$ Yes No

Mortgage: $$
Taxes/Ins: $    Remaining: yrs mos. Yes No

2nd Mortgage: $$
Taxes/Ins:$    Remaining:yrs mos. Yes No

Other: $$ Yes No

UNSECURED DEBTS

Please list individual credit card accounts and other unsecured debts separately:

Creditor    Balance Owed   Monthly Payment    Interest Rate

Current

$$ Yes No

$$ Yes No

$$ Yes No

$$ Yes No

$$ Yes No

$$ Yes No

$$ Yes No

$$ Yes No

$$ Yes No

$$ Yes No

Comments and/or any financial hardships:

Once you submit this completed form, we'll run a confidential analysis of your personal financial situation and let you know the results, usually within 48 hours. Our analysis will include a recommendation for the most effective program to help you get completely out of debt in the shortest time possible and save you the most money on interest payments. We'll even tell you the date when you'll be debt-free!

Recovering from the burden of debt you've been under
for so long begins now!

Thank you for completing the Financial Health Fair Check-Up form. We have some remarkable programs that can aid you in eliminating your debt and get you started on a new path to financial independence. It will be a pleasure assisting you with improving your financial well-being.

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