Enquiry Form

In an IVA? *

Yes No

Would you like to settle your IVA early?

Yes No

If Yes, how long in IVA and total debt on entering IVA?

How much per month is paid into the IVA?

Who is the Supervisor?

How much do you think the property is worth?

Is it an ex local authority property?

Yes No

Who is your mortgage lender?

How much is owing on the mortgage?

What are the monthly payments to the mortgage?

Are there any other secured loans against the property?

Yes No

How much do the other secured loans cost per month?

What is your income?

Would you like a broker to call you? *

Yes No

Name: *

Address:

Letter Ref. No.

Phone Number: *

Best time to call:

Is the mortgage up to date?:

Yes No

Have you missed any IVA payments?

Yes No