The Debt People Online Application

Please take a few minutes to complete this simple questionnaire and then click on the submit button. We will get back to you quickly with an initial assessment of your circumstances.

If you need any help call us free on 08000 370 053.

(* = Required) Your details will not be shared with anyone else.

Where did you hear about us?
Which search engine (if applicable)?
Personal Details
First name*
Surname*
email*
Contact number*
Date of Birth
Address
Occupation
Monthly take home pay (including regular overtime) £
Other regular income:
Amount £
Monthly outgoings – not including payments on unsecured debts
Mortgage/Rent £
Council Tax £
Water Rates £
Electricity £
Gas £
Telephone £
Mobile Telephone £
Housekeeping £
Car: Petrol £
Car: Maintenance £
Car: Insurance £
Car: Road Tax £
Car: Hire Purchase £
Public Transport £
Childcare £
Child Maintenance £
TV Rental £
TV Licence £
Internet £
Pet Costs £
Unsecured Debt Details
Total unsecured debt £ *
Other Information
Do you own your own home?
If so, approx. how much is it worth? £
What is the balance on your mortgage? £
Any other loans secured on your home?
If so, what is the balance? £
Do you have any assets or savings / investments?
If so, total value of assets and savings / investments? £
Any regular secured monthly repayments, which will expire in the next 5 years?
If so what is the monthly repayment?
When will you stop paying?
Anything else you would like us to know?
   
I have read and understood the terms and conditions