Debt Relief Worksheet (Page 4 of 10) in pdf

Debt Relief Worksheet Page 4

Debt Relief Worksheet

Page 4

SUPPLEMENTARY PERSONAL DATA



Are you involved in civil litigation from which you may receive monies or property?

Yes

(eg. Insurance claims, divorce settlements, etc.)

If yes, give details below:



Has anyone left you an inheritance, which you have not yet received or are you expecting to

Yes

receive any sums of money, which are not related to your normal income, or any other property

within the next 12 months?

If yes, give details below:



Are there any writs, judgments, or garnishments outstanding against you?

Yes

If yes, give details below:



Do you bank with a financial institution to which you owe money (including overdrafts, credit

Yes

cards, lines of credit), or do you have any automatic debits or post-dated cheques for debt

payments?

If yes, give details below:

Name, address and account number of your current banking institution.



Have you obtained new credit in the last three months or used credit cards in the last three

Yes

months?

If yes, give details below:



Do you still have any credit cards in your possession?

Yes

Debt Relief Worksheet Page 4