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Exit Debt Review with EMB Attorneys
Please fill in the form below so we can assess if you qualify to exit from Debt Review:
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Email *
Best time to call you for free assessment during the weekday from 8am to 4.30pm? *
For your outstanding accounts, can you afford the original installments that were due to each account before you went under debt review? (You only qualify to exit if you can afford your original installments before debt counselling & don't have a court order in place). *
1. Your full name as reflected in your ID document
Name :
Surname :
2. ID Number*
3. Phone Number *
4. Email *
5.Address *
Street Address:
Address Line 2 :
City:
State / Province / Region:
ZIP / Postal Code
6. Who is / was your debt counsellor?*
7. If you were married at the time you went under debt review was the debt review application a combined application in the name of both parties (husband and wife) made?
8. The approximate date you were placed under debt review?
MM
/
DD
/
YYYY
9. Is your debt review subject to a court order?*
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10. Approximately when last did you make payments to the Payment Distribution Agency/Debt Counselor?
MM
/
DD
/
YYYY
11. Have you received any cancellation documentation from your debt counselor?
12. Your income at the time you were placed under debt review was approximately?
13. Your current income?
14. Have you settled any accounts that were placed under debt review?
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15. Are you already making payments directly to your creditors?
16. Are you aware of the fact that you will no longer have protection in terms of the National Credit Act and that the creditors may proceed to enforce a credit agreement if you do not have payment arrangements with regards to any outstanding amounts?
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17. Any other information you want us to consider when conducting this evaluation?
A copy of your responses will be emailed to the address you provided.
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