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HARASSMENT MULTI CHOICE FORM

Do any of these situations apply to you? Dot the circles below if YES.

  • Step 1
  • Step 2

Quick Questions

Do Any Of These Apply? If YES Check Off The Boxes

Are you being harassed by creditors or debt collection agencies? If so you maybe entitled up to $1000.00?

Have they threatened you with lawsuits or wage garnishments?

Do they still call you repeatedly despite expressing desire to not be contacted further?

Have they informed a third party (for example, your friends, family, or co-workers) about your alleged debt?

Have they falsely or inaccurately represented the figure on the alleged debt?

Are they asking you to pay more than the amount you owe?

Your Information

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Email Address

How Would You Like to Be Contacted?

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