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| Forename:* |
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| Surname:* |
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| Email:* |
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| Address: |
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| Postcode: |
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| Tel:* |
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| Mobile: |
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| The following is not compulsory but may be of assistance |
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| How many of your Credit Agreements have between £5,000-£25,000 still outstanding? |
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| How many of those Credit Agreements were taken out before 1st ofApril 2007? |
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| Name of lender: |
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| Amount borrowed: |
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| Date of loan: |
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| Have you ever been in arrears? |
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| Has there been any legal proceedings? |
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| Are there any current legal proceedings? |
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| You keep 100% of all the final settlement claimed plus interest we do not charge a fee for Unfair Credit Agreement claims. |
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