Lighthouse Credit Foundation - Financial Education, Credit Counseling & Debt Management

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Manage your debt through our credit-counseling program!

First Name *	Last Name *

E-mail *	State *

Day Phone *	Evening Phone	Best time to reach you: *

Approximate Amount of Total Unsecured Debt (i.e., Credit Cards, Personal Loans, Collection Agencies, etc.)

How would you rate your credit?

Do you own or rent?

Is your mortgage current or past due?

Click below the box or boxes that describe your debt:

Credit Cards		Past Due Utility Bills
Personal Loans		Medical Bills
Other

Are any of your accounts past due?

If yes, how many months past due?