Debt & Tax Relief Consultation Form WFG Client Group Hotline: 1-877-264-1670

Free Consultation for Anyone Referred by a WFG Associate

with at Least $10,000 of Unsecured Debt or Tax Debt

Qualified referrals are facing financial challenges, such as:

Unsecured Debt Tax Debt

Client Information:

Client Name(s):

Phone: ( ) Alt. Phone: ( )

Client E-mail:

City and State:

Client needs help with: Unsecured Debt Tax Debt Estimated Debt Amount: $

Briefly Note Client’s Hardship:

Agent Information:

Agent Name: Agent Code #:

Agent Phone: ( ) Email:

Marketing Director: Email:

Split Agent Name: Agent Code #:

Comments/Preferred Consultant:

PLEASE FAX THIS FORM TO: 1-877-681-5105 Or send it to our agent support email: wfgsupport@debtmerica.com

To Contact Debtmerica: 1-877-264-1670, 7AM – 7PM M-F, 9AM-2PM Sat. PST

WFG Client Enrollment Center: http://wfg.debtmerica.com

• Financial Hardship

• Credit Card Debt

• Credit Unions

• Hospital & Medical Bills

• Unpaid Taxes

• Unfiled Tax Returns

• Wage Garnishments

• Bank Levies

• Deficiency Balances

• Collection Accounts

• Past Due Bills

• $10,000 Min Debt

• Tax Liens

• State Taxes

• Audit Representation

• $10,000 Min Tax

• Be Debt Free in 24-48 Months

• One Lower Monthly Payment

• Enrolled Debt Is Settled In Full

• Protection from IRS Collections

• Full Range of Resolution Strategies

• Initial Tax Investigation Conducted