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Have you filed bankruptcy in the last 8 years?

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What types of bills/debt do you have?

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Student Loans
Taxes
Medical
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Home Mortgage
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Are you behind of any payments listed above?

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If yes, what payments are you behind on?
Do you own or rent a home?

Own
Rent
Neither
Estimated
monthly income?
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total debt?
How many people live in your household?

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