PLEASE NOTE: IF YOU HAVE RECEIVED A SUMMONS FROM ANY OF THE ABOVE LISTED CREDITORS, THEN THE SPECIFICACCOUNT IS NOT COVERED BY THE NATIONAL CREDIT ACT.
Declare as follows:
1) I / We declare to comply with all requests from my debt counsellor to assist him/her to evaluate my state of
indebtedness and prospects for responsible debt restructuring
2) I / We hereby consent that my/our credit record may be obtained from any/all registered credit bureaus by
my Debt Counsellor.
3) I / We confirm that the information obtained in this document is, to the best of my/our knowledge, true and correct.
4) I/We undertake not to enter into any further credit agreements, other than a consolidated agreement, with any
credit provider until one of the following events has occurred:
a) The Debt counsellor may rejects my/our application
b) The court determines that I/we are not over-indebted or
c) All my/our obligations under credit agreements have been fulfilled
5) I/We " The Consumer " understand that the debt review process and service offered by Debt Wise is a compromise arrangement that is negotiated and concluded by Debt Wise between the client and its general body of creditors and is not a a guarantee or warranty against possible further legal proceedings being instituted against myself by any creditor. Debt Wise, its agents, assigns or employees will under no circumstances be liable to myself for any damages that I/We " The Client " may suffer as a result of any creditor electing to proceed against it in accordance with the South African law or any consequential loss which may arise there from.