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IVA Instant Application
Fill your details in the form below and a consultant will call you in the next few hours.
Submitting Details...
Step
1
of
3
Speak to a Debt Specialist
What is the total value of
your debts?
What is your monthly take-home income? (including any benefits)
Your employment status?
Current residential status?
Please select
Employed
Self-employed
Unemployed
Home-maker
Student
Retired
Other
Please select
Home Owner - With a mortgage
Home Owner - No mortgage
Private Tenant - Furnished
Private Tenant - Unfurnished
Living with parents
Other
How are you managing with your
credit commitments?
How many companies do you owe money to?
Please select
I am up-to-date with my payments
Up-to-date with payments, but struggling
Missed a few payments
In arrears or defaulted on a few accounts
Under threat of court action, or have CCJs
Please select
1
2
3
4
5
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7
8
9 or more
Proceed to step
2
.
Step
2
of
3
Speak to a Debt Specialist
What is the size of your
mortgage balance?
How much is your monthly
mortgage payment?
If you have secured loans, what is
the total balance?
What is your total monthly
secured loans payments? (if any)
What is the approximate value of
your property?
What are your living arrangements?
Please select
Single
Living with Partner
Single & 1 Child
Single & 2 Children
Single & 3 Children
Single & 4+ Children
With Partner & 1 Child
With Partner & 2 Children
With Partner & 3 Children
With Partner & 4+ Children
Proceed to step
3
.
Step
2
of
3
Speak to a Debt Specialist
How much is your monthly rent?
What are your living arrangements?
Please select
Single
Living with Partner
Single & 1 Child
Single & 2 Children
Single & 3 Children
Single & 4+ Children
With Partner & 1 Child
With Partner & 2 Children
With Partner & 3 Children
With Partner & 4+ Children
Proceed to step
3
.
Step
3
of
3
Your details
First name:
Last name:
Phone number:
Alternate phone number:
E-mail address:
Your date of birth?
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First line of current address:
Current postcode:
Based on your requirements we have selected the FSA regulated broker
Broker Name
to help you with your enquiry.
Please click
SUBMIT
to confirm that you are happy for them to contact you by telephone/e-mail.
Finished
Thank you for your enquiry.
Your adviser will be in touch with you shortly.
IVA.net 16 Parkers Circus, Chipping Norton, Oxfordshire OX7 5LZ |
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