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Total annual income in household
$50K
$50-$100K
$100K+
Total amount of unsecured debt (credit cards, personal loans, medical bills)
$15K
$15K-$60K
$60K - $100K
$100K+
None
Are you current on all debt?
Yes
No
Have you filed all required tax returns?
Yes
No
Do you owe money to the IRS or Department of Revenue?
Yes
No
If you own real estate, are you current on your mortgages?
current on morgage
behind on mortgage
do not own real estate
Have you filed bankruptcy before?
Yes
No
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