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SL Submit
Mike
2022-05-24T11:17:32-07:00
Step
1
of
4
25%
Let's start off by knowing what state your client is in.
What state is your client in?
*
Alabama
Alaska
Arizona
California
Delaware
Florida
Hawaii
Idaho
Indiana
Iowa
Kentucky
Louisiana
Maine
Maryland
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Jersey
New Mexico
North Carolina
Ohio
Oklahoma
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Wyoming
Please note that services are not currently available in the following states: AR, CO, CT, GA, IL, KS, MA, OR, ND, NH, NY, OR, UT, VT, WA, WI, WV
Excellent, now let's get some information about you.
Agent First Name
*
Agent Last Name
*
Agent Email
*
Agent Phone
*
Agent Code
*
Okay! Now, we just need your upline's information.
Manager First Name
*
Manager Last Name
*
Manager Email
*
Is there a Split Agent for this client?
*
Yes
No
Split Agent First Name
*
Split Agent Last Name
*
Split Agent Code
*
Perfect. Let's get some information regarding your client.
Client First Name
*
Client Last Name
*
Client Email
*
Client Phone
*
Client Alt Phone
Do you have your client's spouse information?
*
Yes
No
Spouse information can help close your lead or lead to future business!
Spouse First Name
*
Spouse Last Name
*
We're almost done! Let's see when and how we can help your client.
When would the best time to call be?
*
Morning
Afternoon
Evening
Is your client enrolled in School?
*
Yes
No
Is your client currently working?
*
Yes
No
Loan Details
Are your student loans currently in default or delinquency (Past due or behind on payments)?
*
Yes
No
I don't know
Have you made any payment(s) toward your student loan balance in the last 60 days?
*
Yes
No
I don't know
Have you consolidated your student loans in the past?
*
Yes
No
I don't know
Have you filed for your Federal Income Tax Return in the last 12 months?
*
Yes
No
I don't know
Do you have Parent Plus loans for yourself or someone else?
*
Yes
No
I don't know
Do you owe at least $20,000.00 or more in student loans?
*
Yes
No
I don't know
Are you able to access your Federal Student Loans with your FSA ID?
*
Yes
No
I don't know
Any additional information to add?
By clicking SUBMIT/YES, you consent and request to be contacted by PHP Debt Solutions, by phone, email, and text/SMS to the home or mobile number(s) you provided even if your provided number is on a National or State Do Not Call List. In some cases, pre-recorded messages and automated technology may be used to contact you for marketing purp
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