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 CONTACT US

Bankruptcy Service - ABN: 48 956 979 309
Postal Address:
PO Box J131
Coffs Harbour Jetty NSW 2450
Phone: 1300 885 158
Email: help@bankruptcyservice.com.au

Gae Channells - Proprietor (pictured).

So that we may provide you with the appropriate advice, please complete the following information form:
PERSONAL DETAILS:
First Name*
Surname
Address*
Town*
Postcode
Phone (include area code)*
Mobile
Telstra or Non-Telstra
Email*
FINANCIAL SITUATION (approximate amounts):
*Total Amount Owing on Credit Cards and Personal loans
Amount Owing on House loan
(if applicable)
Present value of your house
(if applicable)
Amount Owing on Car Loan
(if applicable)
Present value of your car
(if applicable)
INCOME DETAILS:
Approximate Weekly Income
FAMILY DETAILS (where applicable):
Do You Have a Partner?
If Yes, Is Your Partner Working?
Do You Have Any Children Under 16?
If Yes, How Many Dependant Children?
LEGAL ACTIONS:
Have Any of Your Creditors Threatened or Proceeded With Legal Action Against You?
Have Your Wages Been Garnisheed?
ADDITIONAL INFORMATION:
Please Provide Any Other Relevant Details:
TO CONTACT YOU:
Please indicate the best way to contact you:
By phone By email
Please indicate best time to phone you.
Best time to call - During day
During evening
 
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DISCLAIMER: Whilst we endeavour to check that all information provided is correct, we accept no responsibility for any loss incurred by any person acting upon any information they obtain through this service.

   
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