Fill out Form Online & Print page 5 of 5

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Counselee Debt Information ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
Creditor Name:                           
Phone:
 		 Address:
City:
 		State:
 		Zip:
Account #:

Total Owed :
 		Monthly Payment:
 		APR:
Pymts behind: Yes No Secured loan: Yes No Include in plan: Yes No

For CFM Use Only
# M  D  A FS: M%P: M$P: i%: Bal:$ Pymt:$
P              
$              
M
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Counselee Debt Information ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
Creditor Name:                           
Phone:
 		 Address:
City:
 		State:
 		Zip:
Account #:

Total Owed :
 		Monthly Payment:
 		APR:
Pymts behind: Yes No Secured loan: Yes No Include in plan: Yes No

For CFM Use Only
# M  D  A FS: M%P: M$P: i%: Bal:$ Pymt:$
P              
$              
M

  1. After you have filled the appropriate blanks above,

  2. If you need to enter more Creditors, Click Reset button (after printing previously completed page) to clear information.
  3. Repeat Steps 1 & 2 as needed.
  4. Make sure you have completed all of the forms, then mail or fax the forms AND COPIES OF YOUR MOST RECENT CREDITOR STATEMENTS, COPIES OF YOUR LAST TWO INCOME TAX RETURNS, A RECENT PAY STUB, AND A RECENT COPY OF YOUR CREDIT REPORT (including your FICO score) AND YOUR CHECK OR MONEY ORDER Christian Financial Ministries (ATTN: Financial and Life Coaching Department), 302 Old Clay Street, Marietta, GA 30060. 
Christian Financial Ministries, christian financial ministries, Christian Consumer Credit Counseling, christian consumer credit counseling, Christian Consumer Debt Counseling, Christian Credit Counselors, christian credit counselors, christian consumer debt counseling, Biblical Debt Elimination, biblical debt elimination, Consumer Debt, consumer debt , Consumer Debt Management, consumer debt management, Biblical Financial Concepts, Biblical Financial Concepts, biblical financial concepts, Debt Management, debt management. Crown Ministries, crown ministries, Budgeting, budgeting, Debt Consolidation, debt consolidation Christian Financial Ministries, christian financial ministries, Christian Consumer Credit Counseling, christian consumer credit counseling, Christian Consumer Debt Counseling, Christian Credit Counselors, christian credit counselors, christian consumer debt counseling, Biblical Debt Elimination, biblical debt elimination, Consumer Debt, consumer debt , Consumer Debt Management, consumer debt management, Biblical Financial Concepts, Biblical Financial Concepts, biblical financial concepts, Debt Management, debt management. Crown Ministries, crown ministries, Budgeting, budgeting, Debt Consolidation, debt consolidation© 2008 This web site designed by Zylo-Net.
Please contact webmaster@ddcwebdesign.com for web site problems. All Rights Reserved.Christian Financial Ministries, christian financial ministries, Christian Consumer Credit Counseling, christian consumer credit counseling, Christian Consumer Debt Counseling, Christian Credit Counselors, christian credit counselors, christian consumer debt counseling, Biblical Debt Elimination, biblical debt elimination, Consumer Debt, consumer debt , Consumer Debt Management, consumer debt management, Biblical Financial Concepts, Biblical Financial Concepts, biblical financial concepts, Debt Management, debt management. Crown Ministries, crown ministries, Budgeting, budgeting, Debt Consolidation, debt consolidation Christian Financial Ministries, christian financial ministries, Christian Consumer Credit Counseling, christian consumer credit counseling, Christian Consumer Debt Counseling, Christian Credit Counselors, christian credit counselors, christian consumer debt counseling, Biblical Debt Elimination, biblical debt elimination, Consumer Debt, consumer debt , Consumer Debt Management, consumer debt management, Biblical Financial Concepts, Biblical Financial Concepts, biblical financial concepts, Debt Management, debt management. Crown Ministries, crown ministries, Budgeting, budgeting, Debt Consolidation, debt consolidation