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Introduction
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First Name

Last Name

Email

Phone

Street Address

City

State

Postal / Zip code

Marital Status

Age

Occupation

Ages of children living at home

Approximate Annual Household Income

Do you own a business?

Are you/spouse licensed to sell insurance or securities?

What are your BIGGEST Financial Concerns? * Required

Managing my debt to improve my financial and mental health

Building my nest egg in a safe environmnet for short/medium term goals

Creating a retirement income I can count on

Having access to my money

Paying college expenses

Recapturing interest and fees from financial institutions

OTHER

Other concerns

Select all loan/debt types you have outstanding balances on.

Mortgage

Credit Card

Auto Loans

Other Debts/Loans

MORTGAGE(S): Total Balance?

CREDIT CARDS: Total Balance?

MTG: Do you make extra payments??

CC: Do you make extra payments?

MTG: How much do you pay extra?

CC: How much do you pay extra?

AUTO LOANS: Total Balance?

OTHER LOANS/DEBTS: Total Balance?

AUTO: Do you make extra payments?

OTHER: Do you make extra payments?

AUTO: How much do you pay extra?

OTHER: How much do you pay extra?

How did you hear about Debt free in 3?

Were you referred by someone?

By submitting this form, you agree to us sending you information about Debt Free in 3 via email. You can unsubscribe at any time.

Your Debt FREE in 3 Specialist will contact you soon to schedule your Free Consultation and Analysis! Check your email for instructions regarding the information you will want to have handy for this appointment. We're excited to help you on your path to be Debt Free in 3!

THERE'S A BETTER WAY TO PAY OFF DEBT

People who utilize our debt free in 3™ plan to get out of debt while simultaneously building wealth are sleeping better at night and you could too!

*All time and interest savings examples, wealth building examples and rates of return on this site are strictly hypothetical. Individual time and interest savings amounts and wealth building possibilities are subject to individual qualification. Individual qualification required. No financial advice or recommendations have been made as a part of this site.

About Us

The Debt FREE in 3 system can help you pay off your home and other debts in a fraction of the time and convert your canceled debt payments to wealth!

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