Online application
Let our nationwide non-profit debt management program help you reclaim control of your finances. We have help thousands through the successful implementation of our debt management program. Our certified credit counselors will structure a repayment plan that works for you. Take the next step and let us help you become debt free! Listed below are some of the program benefits:
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One convenient, affordable, monthly payment
Reduce or eliminate high interest rates
Re-aging of accounts
Waived late and over the limit fees
An end to creditor harassment
Financial Education
krediet linksFill out the application below for a free, no-cost, no-obligation payment estimate.
You can expect to be contacted by phone within the next 3 hours depending on when your application was submitted. A Certified Credit Counselor will review your situation and provide you with a free debt analysis. U.S. Residents Only!
Your name*
Address
City
State* ALAKARAZARCACOCTDEWash D.C.FLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY (Service not available for residents of IL, MI, MD, MS, CT, WI, VA, KS)
Postal Code
E-mail address*
Home phone* (Must include a valid phone number)
Work phone
Best time to call AnytimeMorningAfternoonEvening
Estimated amount
of unsecured debt* $ - Select One - $0-$3,000$3,000-$5,000$5,000-10,000$10,000-$20,000$20,000-$30,000$30,000-$40,000$40,000-$50,000$50,000-$60,000$60,000-$70,000$70,000-$80,000$80,000-$90,000$90,000-$100,000Over $100,000 (do not include mortgages or auto loans)
Do you own
your home? NoYes
My accounts are? * Credit cards
Utilities
Collection agencies
Student loans
Medical Bills
Furniture accounts Finance companies
Department store charge cards
Legal fees
Federal taxes
Utilities
Other:
My payments are * Up-to-date1-3 months past due3-6 months past due6-9 months past due9-12 months past dueOver a year past due (worst case)
Reason for contacting ADR? No ReplyConsolidate debtsOver the limitFalling behind on billsWant to pay old debtsDenied creditTrouble making ends meetFinancial literacy program(s)Request financial educationCredit Counseling
Your application is completely confidential
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