Debt Review Removal Application Form - I want to Exit Debt Review

To terminate the debt review process and to have the debt review notice removed from your credit reports requires that a court application be made for the court to find that you are not over-indebted, even if there is no court order in place for your debt review. Should you wish to terminate the debt review process, please complete the form below and attach all required documents, to allow us to do an assessment of your probable case. We shall then advise further.

Step 1 of 4

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Applicant details: If you are married in community of property, both spouses must apply jointly.
Main (1st) Applicant
Title*
Initials*
Identity Number*
Full Names & Surname*
Gender*
Ethnic Group*
Marital Status*
Mobile Number*
Email Address*
Address*
Province*
Postal Code*
Owner/Tenant:*
Period at Address:*
Number of dependents
Age of dependants
Separate by commas
2nd Applicant (SPOUSE)
Title*
Initials*
Identity Number*
Full Names & Surname*
Gender*
Ethnic Group*
Marital Status*
Mobile Number*
Email Address*
Address*
Province*
Postal Code*

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EMPLOYMENT DETAILS
Main (1st) Applicant
Name of Employer / Company Name*
Employment Type*
Occupation*
Gross Salary (Before Deductions)*
Total Deductions*
Total Nett Income (After Deductions)*
Pay date
2nd Applicant (SPOUSE)
Name of Employer / Company Name*
Employment Type*
Occupation*
Gross Salary (Before Deductions)*
Total Deductions*
Total Nett Income (After Deductions)*

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HOUSEHOLD LIVING EXPENSES
Family Expenses*
Groceries*
Petrol / Travel*
Telephone / Cellphone*
Bank Charges*
Clothing*
Other Living Expenses*
TOTAL HOUSEHOLD LIVING EXPENSES

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DEBT OBLIGATIONS
Creditors Name
Creditors Name
Who is/was your debt counsellor?*
If you were married at the time you went under debt review and the debt review application was a combined application in the name of both parties (husband and wife) made?**
Why do you want your name to be removed from Debt Review.*
Kindly Provide a Detailed Motivation for the Magistrate on why should your name be Removed from Debt Review.
The approximate date you were placed under debt review*
Date Format: MM slash DD slash YYYY
Is your debt review subject to a court order?*
Approximately when last did you make payments to the Payment Distribution Agency/Debt Counselor?*
Date Format: MM slash DD slash YYYY
Have you received any cancellation documentation from your debt counselor?*
Your income at the time you were placed under debt review was approximately?*
Have you settled any accounts that were placed under debt review?*
If Yes. Please remember to upload paid-up letters.
For your outstanding accounts, can you afford the original installments that were due to each account before you went under debt review?*
Are you already making payments directly to your creditors?*
Are you aware of the fact that you will no longer have protection in terms of the National Credit Act and that the creditors may proceed to enforce a credit agreement if you do not have payment arrangements with regards to any outstanding amounts?*
Upload ID Copy*
Drop files here or
Upload Recent Payslip*
Drop files here or
Upload Court Order from Previous Debt Counsellor
Drop files here or
Upload Paid up Letters
Drop files here or
Upload Marriage Certificate
Drop files here or
Declaration
I agree to the following terms and conditions.
I confirm that the information contained in this document is to the best of my knowledge true and correct and further I undertake to comply with all requests from the debt removal SA to assist him/her to evaluate my state of indebtedness and to investigate the prospects for responsible debt restructuring. I consent to The Debt Review Removal South Africa to obtaining my credit record from any/all registered credit bureaus and any other registers which may contain any of my credit information.
Comments
This field is for validation purposes and should be left unchanged.

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Debt Review Removal Application Form

Debt Review Removal Application Form - I want to Exit Debt Review

Step 1 of 4

Applicant details: If you are married in community of property, both spouses must apply jointly.

Main (1st) Applicant

2nd Applicant (SPOUSE)

EMPLOYMENT DETAILS

Main (1st) Applicant

2nd Applicant (SPOUSE)

HOUSEHOLD LIVING EXPENSES

DEBT OBLIGATIONS

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