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What types of debt do you have?
[Check all that apply]

Credit Card Debt
Student Loan Debt
Tax Debt
Other Debt

How much unsecured debt do you have?

$0 - $5,000
$5,000 - $7,500
$7,500 - $10,000
$10,000 - $20,000
$20,000 - $40,000