Fillable DEBT & TAX RELIEF CONSULTATION FORM

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DEBT & TAX RELIEF CONSULTATION FORM

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DEBT & TAX RELIEF CONSULTATION FORM
WFG Client Group Hotline: 1-877-264-1670
Free Consultation for Anyone Referred by an Associate with
at Least $10,000 of Unsecured Debt or Tax Debt.
Be Debt Free in 24 - 48 Months
One Lower Monthly Payment
Enrolled Debt is Settled in Full
UNSECURED DEBT
Financial Hardship
Credit Card Debt
Credit Unions
Hospital/Medical Bills
Deficiency Balances
Collection Accounts
Past Due Bills
$
10,000 Min. Debt
Protection from IRS Collections
Full Range of Resolution Strategies
Initial Tax Investigation Conducted
TAX DEBT
Unpaid Taxes
Unified Tax Returns
Wage Garnishments
Bank Levie
Tax Liens
State Taxes
Audit Representation
$
10,000 Min. Tax
Qualified referrals are facing financial challenges, such as:
CLIENT INFORMATION:
Client Name(s):
Phone: Alt. Phone:
Client Email:
City & State:
Client needs help with: Unsecured Debt Tax Debt Estimated Debt Amount:
Briefly Note Client’s Hardship:
AGENT INFORMATION:
Agent Name: Code #:
Agent Phone: Email:
Sr. Marketing Director: Email:
Split Agent Name: Agent Code #:
Comments/Preferred Consultant:
Please Fax This Form To: 1-877-681-5105
Or send it to our agent support email: wfgsupport@debtmerica.com
To Contact Debtmerica: 1-877-264-1670, 7AM - 7PM M-F, 9AM - 2PM Sat. PST
WFG Client Enrollment Center: http://wfg.debtmerica.com
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DEBT & TAX RELIEF CONSULTATION FORM

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Completed 1 August 2020

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