You are about to fill out a Debt Consolidation Application provided by Kimberly Credit . We are Licensed and Insured and we have been providing debt consolidation for people since 1991. *Note: We are only able to consolidate unsecured debt such as credit cards & Dept Store Cards. We DO NOT deal with secured debt such as Mortgages or Auto Loans.
BOLD FIELDS REQUIRED and at least ONE CREDITOR
Name
Street Address
City State Zip
Home Phone
Work Phone
Email
Net Income
Total Debt Amt
Best Time To Call
Creditor Name
Total Owed
Month Paymt
Type of Debt
Months Behind
