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IVA Eligibility Assessment
Online Eligibility Assessment
Please try to complete each field. If you are unsure of precise amounts please type approximate values.
*
= Required
Full Name :
*
Telephone Number :
*
Email Address :
Marital Status :
Please Select
Single
Married
Separated
Divorced
Cohabiting
Other
How much debt do you have?
(excluding mortgage)
Please Select
Under £12000
£12,001 - £15000
£15,001 - £20000
£20,001 - £25,000
£25,001 - £30,000
£30,001 - £35,000
£35,001 - £40,000
£40,001 - £45,000
£45,001 - £50,000
£50,001 - £55,000
£55,001 - £60,000
£60,001 - £65,000
£65,001 - £70,000
£70,001 - £75,000
£75,001 - £80,000
£80,001+
*
How many creditors do you have?
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Over 12
*
Do you own your own home?
Please Select
Yes
No
Employment Status :
Please Select
Full-Time Employed
Part-Time Employed
Self-Employed
Company Director
Unemployed
Household Monthly Income (£) :
Please enter the number in the box
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