My Debt Obligations

Please fill in the form below tot he best of your knowledge.

Press the “Give me advise” button, to submit your budget for a FREE Assessment.

If you would like to skip the ‘Give me Advise’ option and just move on to applying for Debt Review, please complete the

Formal Application Form and email it through to status@skuldvry.co.za

or print, complete and fax the Formal Application Form.pdf to 086 691 4556.

THE FORM

KONTAK BESONDERHEDE / CONTACT DETAILS

Naam & Van / Name & Surname *

Kontak nommer / Contact Number *

Epos adres / Email *

HUIDIGE MAANDELIKSE BEGROTING / CURRENT MONTHLY BUDGET
Inkomste / Income

Salaris / Salary

Beleggings / Investments

Ander / Other

Uitgawes / Expenses

Belasting / PAYE / Tax

Mediese fonds / Medical Aid

Pensioen / Pension

Verband of Huur / Morgage or Rent

Kos aankope / Groceries

Petrol

Skoolfonds / School fees

Maandelikse verpligtinge en skuld / Monthly Commitments and debt

Alle lenings / All loans (car, personal)

Alle Klere rekeninge / All Clothing accounts

Kredietkaarte / Credit Cards

Oortrokke fasiliteite / Overdraft

Mediese uitgawes / Medical Expensis

Alle meubel rekeninge / All furniture accounts

DSTV / MNET

Foon & sell kostes / Phone & cell costs

Alle versekering All insurance (life, short-term)

Ander / Other

Benodig *
Required *

© 2008 Boekevat cc