ARE YOU STRESSED OUT? NEED HELP NOW? WE WANT TO HELP YOU!

WHAT IS BSI? BSI, or Big Solutions, Inc. is one of the nation’s most reputable creditor approved, Consumer Credit Counseling and Debt Management Services. BSI operates under the strict guidelines of the IRS non-profit code 501(c)(3) as well as all State requirements. Our programs are designed to assist individuals manage unsecured debt as well as provide counseling, education and budgeting advice to all persons seeking our help . All BSI Counselors are certified by the National Institute of Financial Education. BSI is a member in good standing of the Better Business Bureau of South Florida.

HOW CAN BSI HELP YOU? Most creditors have agreed to offer special repayment arrangements to consumers who qualify to enroll in our Debt Management Program. This often includes substantially lowering monthly payments and interest rates, as well as waiving late fees and penalties. A majority of lenders will bring your account “current” if you have fallen behind with your monthly payments.

HOW DOES THIS WORK? Upon receipt of your completed application (on back), we will formulate and return a Payment Plan for your review. This individualized plan specifically details what type of repayment arrangements each of your creditors will accept. BSI then adds all payments together into one affordable consolidated monthly amount.

Once BSI receives your first monthly payment, all creditors will be immediately notified that you have enrolled in our Debt Management Plan and appropriately adjust your interest rates and account status, as described in your personal Payment Plan.

BSI issues disbursements to each of your lenders within one week of payment receipt. You will continue to receive your monthly statements directly from your creditors, confirming that an accurate payment has been posted to your account, and interest has been reduced as described in your Payment Plan.

Please be assured that you are under no obligation to BSI when you return this application. It is used only to formulate customized repayment arrangements. Your creditors will not be contacted until you have qualified to enroll in our program, and all information sent to BSI is kept strictly confidential.

HOW MUCH DOES THIS COST? BSI requests a one-time enrollment fee (only after you have reviewed and accepted your personal repayment plan)as well asa monthly maintenance fee based on your individual situation,the state in which you reside, and creditor guidelines. These fees help us meet the operating expenses necessary to continually provide the very highest level of customer support. Please note that fees are not considered tax deductible items..

HOW DO I QUALIFY? BSI’s Debt Management Program is individually designed for consumers who are currently delinquent in debt repayment. We will review the budget information your provide (on back) to make certain this is your best option. If you are presently current with your payments, but are experiencing special personal circumstances, please send us a detailed explanation.

OTHER IMPORTANT FACTS:

Once you are enrolled in BSI’s Debt Management program, all future payments, including pay-offs, must be made through BSI.

Enrollment in BSI’s Debt Management program is generally regarded as far preferable to bankruptcy, debt settlement, or ignoring your repayment obligations. However, please be aware that your decision to work with BSI might be reflected by the various credit bureaus as a negative notation which could possibly affect your future ability to obtain credit.

Financial Counselors are available to discuss all repayment options with you, at no charge.

By continuing to make full monthly payments to BSI, per your repayment schedule, on a regular 30-day cycle, your outstanding debt should be paid-in-full within approximately five years.

Once enrolled in BSI’s Debt Management program, you cannot open new or additional lines of credit without prior approval which may, or may not, be given dependent upon circumstances. Creditors are not obligated to reopen credit upon completion of Plan.

BSI will calculate your Repayment Plan based on the outstanding balances you provide on your application. It is extremely important that all account information is current and accurate.

Creditors will “close” credit cards placed on Debt Management Program. All credit cards must be included in your Repayment Plan. You may exclude one card for emergency use only.

Please note that some creditors contribute financial assistance to BSI to help defray our operational expenses.

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WE WANT TO HELP YOU! Please complete / ABOUT YOUR HOUSEHOLD: / ABOUT YOUR CREDITORS: Use additional / Bank/Creditor:
this application and return by mail to our / Rent ( ) Own ( ) Monthly Pmt: $ / paper if needed. To assure accuracy, / Account #:
special processing and payment address. / Monthly Auto Pmt: $ / please attach copies of most recent / Creditor Address:
BIG SOLUTIONS INC. / Monthly Auto Expense: $ / statement from each creditor.
P.O. BOX 866 / Monthly Utilities: $ / Creditor’s Telephone #: ( )
DEERFIELD BEACH, FL 33443-0866 / Monthly Grocery Expense: $ / Bank/Creditor: / Credit Card: ( ) Yes ( ) No
Monthly Insurance Expense: / Account #: / Current? ( ) Yes ( ) No – # Mths Late ( )
You may fax your completed application to / (Life, Health, Auto, Home) $ / Creditor Address: / Name of Primary Card Holder:
(954) 481-3456, however, we ask that you / Monthly Child Support: $
send the original hard copy since facsimile / Monthly Child Daycare: $ / Creditor’s Telephone #: ( ) / Current Outstanding Balance: $
transmission can often be unclear. / Monthly Miscellaneous: $ / Credit Card: ( ) Yes ( ) No / Current Monthly Payment: $
# Of Revolving Credit Cards: / Current? ( ) Yes ( ) No – # Mths Late ( )
If you wish, you may complete this / Mthly Pmt. On Revolving Debt: $ / Name of Primary Card Holder: / Bank/Creditor:
application online at: .org / # Of Secured/Installment Loans: / Account #:
Mthly Pmts on Loans: $ / Current Outstanding Balance: $ / Creditor Address:
BSI Financial Counselors are available / Retirement/Pension Income: $ / Current Monthly Payment: $
Monday-Friday from 9:00 AM-4:00 PM EST. / Social Security Income: $ / Creditor’s Telephone #: ( )
Other Income: $ / Bank/Creditor: / Credit Card: ( ) Yes ( ) No
ABOUT YOU: / Total Assets: $ / Account #: / Current? ( ) Yes ( ) No – # Mths Late ( )
Last Name: ______ / Total Liabilities: $ / Creditor Address: / Name of Primary Card Holder:
First Name: ______
Social Security #: ______ / Describe any special circumstances: / Creditor’s Telephone #: ( ) / Current Outstanding Balance: $
Home Address: ______ / Credit Card: ( ) Yes ( ) No / Current Monthly Payment: $
______ / Current? ( ) Yes ( ) No – # Mths Late ( )
______ / Name of Primary Card Holder: / Bank/Creditor:
Home Telephone #: ( )______ / Account #:
Work Telephone #: ( )______ / Current Outstanding Balance: $ / Creditor Address:
Cellular #: ( )______ / Do you need special counseling? / Current Monthly Payment: $
Creditor’s Telephone #: ( )
Date of Birth: ( ) Mth ( ) Day ( )Yr / Note: BSI might make credit bureau / Bank/Creditor: / Credit Card: ( ) Yes ( ) No
inquiries regarding your situation. These / Account #: / Current? ( ) Yes ( ) No – # Mths Late ( )
Occupation: ______ / are known as “soft pulls” and are not / Creditor Address: / Name of Primary Card Holder:
Employer: ______ / reflected as creditor inquiries. We cannot
Yearly Income: $______ / provide you with copies of this information. / Creditor’s Telephone #: ( ) / Current Outstanding Balance: $
# Of Dependents: ______ / Credit Card: ( ) Yes ( ) No / Current Monthly Payment: $

I agree to allow BSI to make credit bureau

/ Current? ( ) Yes ( ) No – # Mths Late ( )
ABOUT YOUR SPOUSE: / Inquiries when necessary. / Name of Primary Card Holder:
Last Name: ______ / Visit Us Online At:
First Name: ______ / Please sign: / Current Outstanding Balance: $
Social Security #: ______ / Please date: / Current Monthly Payment: $ / Your Email Address:
Yearly Income: $______
BSI complies with the Graham-Leach Bliley Act / APP52007

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