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Crush Your Debts LLC - Debt Payoff Analysis
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29
Questions
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1
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2
CURRENT CONCERNS WITH ELIMINATING DEBT:
Pick from the list below which debts are concerning you.
STUDENT LOANS
BUSINESS LOANS
CREDIT CARDS
BUSINESS CREDIT CARDS
MORTGAGE
HELOC
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3
ARE YOU PAYING MORE THAN YOUR MINIMUM PAYMENTS?
*
This field is required.
YES - I want to eliminate debt
NO - I can only afford the min
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4
DID YOU GET DECLINED FOR A MORTGAGE?
*
This field is required.
YES
NO
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5
DO YOU RENT OR OWN YOUR HOME?
*
This field is required.
OWN MY HOME
RENT MY HOME
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6
IS YOUR DEBT TO INCOME RATIO TOO HIGH?
*
This field is required.
If you do not know, answer yes.
YES
NO
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7
ARE YOU TRYING TO BUY A HOME?
*
This field is required.
When your debts are too high, getting qualified for a loan may be harder.
YES - I want to stop renting
NO
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8
IS YOUR CREDIT SCORE NOT WHERE YOU WANT IT TO BE BECAUSE OF YOUR DEBT?
*
This field is required.
30% of your FICO Credit Score is how in-debt you are.
YES - My balances are too high
NO
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9
Are you currently contributing to a retirement plan?
*
This field is required.
IRA, Roth, 401K, 403b, 457, Savings, etc.
YES
NO
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10
What are you contributing to your retirement plan monthly?
*
This field is required.
Enter estimate below. If you don't contribute anything put Zero 0
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11
Would you like to get out of debt efficiently and effectively while using your own money?
*
This field is required.
YES
NO
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12
In order to get you out of debt how much extra a month can you contribute towards your debt elimination?
*
This field is required.
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13
Mortgage(s) Information
*
This field is required.
Our average client is able to pay off their mortgage in 9 years or less using our system. If you do not have a mortgage then put zeros.
LENDER
BALANCE
YEARS REMAINING
INTEREST RATE
PRINCIPAL & INTEREST
MORTGAGE 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
MORTGAGE 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
MORTGAGE 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
MORTGAGE 1
MORTGAGE 2
MORTGAGE 3
LENDER
Row 0, Column 0
BALANCE
Row 0, Column 1
YEARS REMAINING
Row 0, Column 2
INTEREST RATE
Row 0, Column 3
PRINCIPAL & INTEREST
Row 0, Column 4
LENDER
Row 1, Column 0
BALANCE
Row 1, Column 1
YEARS REMAINING
Row 1, Column 2
INTEREST RATE
Row 1, Column 3
PRINCIPAL & INTEREST
Row 1, Column 4
LENDER
Row 2, Column 0
BALANCE
Row 2, Column 1
YEARS REMAINING
Row 2, Column 2
INTEREST RATE
Row 2, Column 3
PRINCIPAL & INTEREST
Row 2, Column 4
1
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14
Enter Your Debts
*
This field is required.
Enter the name of the debt, amount owed, interest on the loan, minimum payment, & actual payment. Click the blue arrow > to move to the next debt. Click the green arrow > to move to next questions.
NAME OF DEBT
AMOUNT OWED
INTEREST RATE
MIN PAYMENT
ACTUAL PAYMENT
DEBT 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
DEBT 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
DEBT 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
DEBT 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
DEBT 5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
DEBT 6
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
DEBT 7
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
DEBT 8
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
DEBT 9
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
DEBT 10
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
DEBT 11
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
DEBT 12
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
Row 11, Column 4
DEBT 13
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
Row 12, Column 3
Row 12, Column 4
DEBT 14
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Row 13, Column 3
Row 13, Column 4
DEBT 15
Row 14, Column 0
Row 14, Column 1
Row 14, Column 2
Row 14, Column 3
Row 14, Column 4
Row 15, Column 0
Row 15, Column 1
Row 15, Column 2
Row 15, Column 3
Row 15, Column 4
DEBT 1
DEBT 2
DEBT 3
DEBT 4
DEBT 5
DEBT 6
DEBT 7
DEBT 8
DEBT 9
DEBT 10
DEBT 11
DEBT 12
DEBT 13
DEBT 14
DEBT 15
NAME OF DEBT
Row 0, Column 0
AMOUNT OWED
Row 0, Column 1
INTEREST RATE
Row 0, Column 2
MIN PAYMENT
Row 0, Column 3
ACTUAL PAYMENT
Row 0, Column 4
NAME OF DEBT
Row 1, Column 0
AMOUNT OWED
Row 1, Column 1
INTEREST RATE
Row 1, Column 2
MIN PAYMENT
Row 1, Column 3
ACTUAL PAYMENT
Row 1, Column 4
NAME OF DEBT
Row 2, Column 0
AMOUNT OWED
Row 2, Column 1
INTEREST RATE
Row 2, Column 2
MIN PAYMENT
Row 2, Column 3
ACTUAL PAYMENT
Row 2, Column 4
NAME OF DEBT
Row 3, Column 0
AMOUNT OWED
Row 3, Column 1
INTEREST RATE
Row 3, Column 2
MIN PAYMENT
Row 3, Column 3
ACTUAL PAYMENT
Row 3, Column 4
NAME OF DEBT
Row 4, Column 0
AMOUNT OWED
Row 4, Column 1
INTEREST RATE
Row 4, Column 2
MIN PAYMENT
Row 4, Column 3
ACTUAL PAYMENT
Row 4, Column 4
NAME OF DEBT
Row 5, Column 0
AMOUNT OWED
Row 5, Column 1
INTEREST RATE
Row 5, Column 2
MIN PAYMENT
Row 5, Column 3
ACTUAL PAYMENT
Row 5, Column 4
NAME OF DEBT
Row 6, Column 0
AMOUNT OWED
Row 6, Column 1
INTEREST RATE
Row 6, Column 2
MIN PAYMENT
Row 6, Column 3
ACTUAL PAYMENT
Row 6, Column 4
NAME OF DEBT
Row 7, Column 0
AMOUNT OWED
Row 7, Column 1
INTEREST RATE
Row 7, Column 2
MIN PAYMENT
Row 7, Column 3
ACTUAL PAYMENT
Row 7, Column 4
NAME OF DEBT
Row 8, Column 0
AMOUNT OWED
Row 8, Column 1
INTEREST RATE
Row 8, Column 2
MIN PAYMENT
Row 8, Column 3
ACTUAL PAYMENT
Row 8, Column 4
NAME OF DEBT
Row 9, Column 0
AMOUNT OWED
Row 9, Column 1
INTEREST RATE
Row 9, Column 2
MIN PAYMENT
Row 9, Column 3
ACTUAL PAYMENT
Row 9, Column 4
NAME OF DEBT
Row 10, Column 0
AMOUNT OWED
Row 10, Column 1
INTEREST RATE
Row 10, Column 2
MIN PAYMENT
Row 10, Column 3
ACTUAL PAYMENT
Row 10, Column 4
NAME OF DEBT
Row 11, Column 0
AMOUNT OWED
Row 11, Column 1
INTEREST RATE
Row 11, Column 2
MIN PAYMENT
Row 11, Column 3
ACTUAL PAYMENT
Row 11, Column 4
NAME OF DEBT
Row 12, Column 0
AMOUNT OWED
Row 12, Column 1
INTEREST RATE
Row 12, Column 2
MIN PAYMENT
Row 12, Column 3
ACTUAL PAYMENT
Row 12, Column 4
NAME OF DEBT
Row 13, Column 0
AMOUNT OWED
Row 13, Column 1
INTEREST RATE
Row 13, Column 2
MIN PAYMENT
Row 13, Column 3
ACTUAL PAYMENT
Row 13, Column 4
NAME OF DEBT
Row 14, Column 0
AMOUNT OWED
Row 14, Column 1
INTEREST RATE
Row 14, Column 2
MIN PAYMENT
Row 14, Column 3
ACTUAL PAYMENT
Row 14, Column 4
NAME OF DEBT
Row 15, Column 0
AMOUNT OWED
Row 15, Column 1
INTEREST RATE
Row 15, Column 2
MIN PAYMENT
Row 15, Column 3
ACTUAL PAYMENT
Row 15, Column 4
1
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15
If you have any additional comments type below
Let us know what is on your mind. We are here to help.
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16
What state do you live in?
This is your primary residence.
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17
Who Referred You to Us?
*
This field is required.
Was it a friend, realtor, loan officer, lawyer, accountant etc....
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18
General Information
*
This field is required.
First Name
Last Name
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19
What is your prefix?
Mr.
Mrs.
Miss
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20
What is your Date of Birth?
*
This field is required.
This is important to find the best financial instrument for you.
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21
Do you smoke?
*
This field is required.
YES
NO
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22
Phone Number
*
This field is required.
Area Code
Phone Number
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23
Email
*
This field is required.
example@example.com
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24
What is your home address?
*
This field is required.
This will be necessary for future intake applications.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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25
TOTAL MIN PAYMENTS
Do not add anything here. This has been added for you.
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26
TOTAL ACTUAL PAYMENTS
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27
TOTAL AMOUNT IN OVER PAYMENTS
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28
RETIREMENT CONTRIBUTION
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29
TOTAL IN OVER PAYMENTS + RETIREMENT CONTRIBUTION
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