BUSINESS DEBT RELIEF WORKSHEET This worksheet is intended to give us an idea of your situation and help us determine if we can help. It does not have to be accurate to the penny. If you don't have your bills handy, you can give a rough estimate for each creditor.   YOUR COMPANY NAME:     YOUR NAME: YOUR PHONE NUMBER:     YOUR EMAIL ADDRESS:                   Creditor's Name Estimated Balance Due Payment Amount Payment Frequency Type of Debt Months Past Due Collection Status Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit Daily Weekly Biweekly Monthly Cash Advance Credit Card Supplier Lease Loan Vendor Current < 1 month 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 2 years 3 years 4 years 5 years Creditor Collection Agency Attorney Lawsuit How much can you afford to pay monthly towards these debts?                 IF YOU HAVE ANY QUESTIONS, CALL US AT 800.411.1113