Debt Elimination Data Input
Client Information
Client Info
Spouse Info
Courtesy Title
Mr.
Mrs.
Ms.
Mr.
Mrs.
Ms.
First Name
Last Name
Birthdate (mm-dd-yyyy)
Occupation
Employer
Street Address
Street Address - additional
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
None
Zip Code
Phone
Email Address
Marital Status
Single
Married
+ Liabilities
Description
Liability type
Balance ($)
Rate (%)
Payment ($)
Min payment ($)
Responsible party
1
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
2
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
3
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
4
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
5
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
6
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
7
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
8
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
9
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
10
Personal
Mortgage
Investment
Business
Client
Spouse
Joint tenancy
+ Additional Debt Payments
Extra monthly payment
One-time payment
One-time payment month
January
February
March
April
May
June
July
August
September
October
November
December
One-time payment year
+ Rate Assumptions
Debt payoff order
Lowest to Highest Balance
Highest to Lowest Interest Rate
Shortest to Longest Payoff Period
Before-tax investment return