| 1. | Is this a single debt or one of several debts? | |
| 2. | Have court proceedings been started? | Y/N (if no, go to question 6) |
| 3. | If Yes, is there a court hearing within the next 7 days? | Y/N |
| 4. | Are there any Magistrates’ Court orders or county Court Judgement orders? | Y/N |
| 5. | If Yes, has any enforcement action been taken eg. bailiffs instructed/eviction notice issued/goods recovered? | Y/N |
| If Yes, give details | ||
| 6. | Is/are the debt(s) priority debt(s) eg. Council Tax, rent arrears, mortgage arrears, fines, non-payment of TV licence, loan(s) secured on the home, hire purchase? | Y/N |
| If Yes, give details | ||
| 7. | Is/are the debt(s) non-ppriority debt(s) eg. unsecured bank loans, store cards, credit cards, mail order? | Y/N |
| If Yes, give details | ||
| 8. | Who are the creditors? (1) | |
| 9. | Is the client disputing liability for the debt(s)? | Y/N |
| If Yes, give details | ||
| 10. | What is the approximate amount of the total debt? | |
| 11. | Have any payment arrangements previously been made? | Y/N |
| If Yes, give details |
