Click to verify BBB accreditation and to see a BBB report for Accelerated Debt Consolidation, Inc


  Important
  Considerations...
  • How Accounts Are Closed
  • Meeting Creditors Required Minimum
  • Which Creditors Are Included
  • Timing And Follow Up On Proposals
  • Proper Preparation Before Consolidation
  • A Plan That Avoids Credit Damage

  Please include your name, phone number and E-mail address so we may contact you for the purpose of providing you with a quote.

This form is designed for your convenience. We do not require account numbers or any other personal information.

No information on this form is passed on to any other organization

 

Name: 
Address: 
City: 
State/Zip: 
Home Phone: 
Work Phone/Ext.: 
Fax: 
E-Mail: 
Best way to contact you:  From  To 

  Please provide us with the names of your creditors, the balances on your accounts, and the interest rates that you have now. This will enable us to have your monthly payment and savings calculated when we contact you.  
1st Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
2nd Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
3rd Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
4th Creditor
Account Name: 
Next due date: 
Status:
Balance: 
Minimum Payment: 
Interest Rate: 
5th Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
6th Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
7th Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
8th Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
9th Creditor
Account Name: 
Next due date: 
Status: 
Balance: 
Minimum Payment: 
Interest Rate: 
10th Creditor
Account Name:
Next due date:
Status:
Balance:
Minimum Payment:
Interest Rate:

Additional Information