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First Name
Surname
Total Debts
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£0 - £4,999
£5,000 - £9,999
£10,000 - £14,999
£15,000 +
No.of Creditors
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1
2
3
4+
Net Income (Month)
Nature of Income
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Employed
Self Employed
Pension Only
State Benefits Only
Expenses (Month)
Residency Status
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Homeowner
Tenant
Living with Friends/Relatives
Telephone
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Best Contact Time
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11.00am
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5.00pm
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8.00pm
9.00pm
Email
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