www.nationaldebtrelief.com Open in urlscan Pro
2600:9000:20c3:dc00:11:8b27:c6c0:93a1 Public Scan

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Submitted URL:
http://www.nationaldebtrelief.com/DebtRelief/ApplyNow
Effective URL:
https://www.nationaldebtrelief.com/applynow/
Submission: On January 05 via api (January 5th 2024, 3:28:02 pm UTC) from US — Scanned from DE

Form analysis
1 forms found in the DOM

POST /applynow/

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_22" id="gform_22" action="/applynow/" data-formid="22" novalidate="" autocomplete="password">
  <div class="gform-body gform_body">
    <ul id="gform_fields_22" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_22_1" class="gfield gfield--type-text first-name clearit gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_1">
        <div class="ginput_container ginput_container_text"><input autocomplete="password" name="input_1" id="input_22_1" type="text" value=""
            class="medium mutate-aud-int-1704468476360progression.step-5 mutate-aud-int-1704468476360progression.value-9 mutate-aud-int-1704468476360progression.any-13 mutate-aud-int-1704468476360personal-form.changed-15"
            placeholder="First Name" aria-required="true" aria-invalid="false" data-mutate-id="2"> <label class="gfield_label gform-field-label" for="input_22_1">First Name<span class="gfield_required"><span
                class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label></div>
      </li>
      <li id="field_22_2" class="gfield gfield--type-text last-name clearit gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_2">
        <div class="ginput_container ginput_container_text"><input autocomplete="password" name="input_2" id="input_22_2" type="text" value=""
            class="medium mutate-aud-int-1704468476360progression.step-5 mutate-aud-int-1704468476360progression.value-9 mutate-aud-int-1704468476360progression.any-13 mutate-aud-int-1704468476360personal-form.changed-15"
            placeholder="Last Name" aria-required="true" aria-invalid="false" data-mutate-id="3"> <label class="gfield_label gform-field-label" for="input_22_2">Last Name<span class="gfield_required"><span
                class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label></div>
      </li>
      <li id="field_22_3" class="gfield gfield--type-email email clearit gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_3">
        <div class="ginput_container ginput_container_email">
          <input autocomplete="password" name="input_3" id="input_22_3" type="email" value=""
            class="medium mutate-aud-int-1704468476360progression.step-5 mutate-aud-int-1704468476360progression.value-9 mutate-aud-int-1704468476360progression.any-13 mutate-aud-int-1704468476360personal-form.changed-15" placeholder="Email"
            aria-required="true" aria-invalid="false" data-mutate-id="4">
          <label class="gfield_label gform-field-label" for="input_22_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        </div>
      </li>
      <li id="field_22_20" class="gfield gfield--type-phone custom-tel gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_20">
        <div class="ginput_container ginput_container_phone"><input autocomplete="password" name="input_20" id="input_22_20" type="tel" value=""
            class="medium mutate-aud-int-1704468476360progression.step-5 mutate-aud-int-1704468476360progression.value-9 mutate-aud-int-1704468476360progression.any-13 mutate-aud-int-1704468476360personal-form.changed-15"
            placeholder="999 999 9999" aria-required="true" aria-invalid="false" data-mutate-id="5"><label class="gfield_label gform-field-label" for="input_22_20">Phone<span class="gfield_required"><span
                class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label></div>
      </li>
      <li id="field_22_7" class="gfield gfield--type-select debt-dropdown gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_7"><label
          class="gfield_label gform-field-label" for="input_22_7">Unsecured Debt Amount<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_7" id="input_22_7"
            class="medium gfield_select mutate-aud-int-1704468476360debtAmount-0 mutate-aud-int-1704468476360below-ten.selected-1 mutate-aud-int-1704468476360above-ten.selected-2 mutate-aud-int-1704468476360progression.step-3 mutate-aud-int-1704468476360progression.value-7 mutate-aud-int-1704468476360progression.any-11"
            aria-required="true" aria-invalid="false" data-mutate-id="1">
            <option value="">Your Debt Amount</option>
            <option value="$0 - $4,999">$0 - $4,999</option>
            <option value="$5,000 - $7,499">$5,000 - $7,499</option>
            <option value="$7,500 - $9,999">$7,500 - $9,999</option>
            <option value="$10,000 - $14,999">$10,000 - $14,999</option>
            <option value="$15,000 - $19,999">$15,000 - $19,999</option>
            <option value="$20,000 - $29,999">$20,000 - $29,999</option>
            <option value="$30,000 - $39,999">$30,000 - $39,999</option>
            <option value="$40,000 - $49,999">$40,000 - $49,999</option>
            <option value="$50,000 - $59,999">$50,000 - $59,999</option>
            <option value="$60,000 - $69,999">$60,000 - $69,999</option>
            <option value="$70,000 - $79,999">$70,000 - $79,999</option>
            <option value="$80,000 - $89,999">$80,000 - $89,999</option>
            <option value="$90,000 - $99,999">$90,000 - $99,999</option>
            <option value="$100,000+">$100,000+</option>
          </select></div>
      </li>
      <li id="field_22_8" class="gfield gfield--type-textarea comments clearit field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_8">
        <div class="ginput_container ginput_container_textarea"><textarea autocomplete="password" name="input_8" id="input_22_8" class="textarea medium" placeholder="Comments" aria-invalid="false" rows="10" cols="50"></textarea><label
            class="gfield_label gform-field-label" for="input_22_8">Comments</label></div>
      </li>
      <li id="field_22_9" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_9">
        <div class="ginput_container ginput_container_text"><input autocomplete="password" name="input_9" id="input_22_9" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
      </li>
      <li id="field_22_10" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible form_ip" data-field-class="form_ip" data-js-reload="field_22_10">
        <div class="ginput_container ginput_container_text"><input autocomplete="password" name="input_10" id="input_22_10" type="hidden" class="gform_hidden" aria-invalid="false" value="2a01:4a0:5a::10"></div>
      </li>
      <li id="field_22_11" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_11"><input autocomplete="password" type="hidden"
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          name="input_14" class="{geoip:city}" value="gclid"></li>
      <li id="field_22_15" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_15"><input autocomplete="password" type="hidden"
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      <li id="field_22_16" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_16"><input autocomplete="password" type="hidden"
          name="input_16" class="SSAID" value=""></li>
      <li id="field_22_17" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_17"><input autocomplete="password" type="hidden"
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      <li id="field_22_21" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_21"><input autocomplete="password" type="hidden"
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      <li id="field_22_24" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_24"><input autocomplete="password" type="hidden"
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      <li id="field_22_23" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_23"><input autocomplete="password" type="hidden"
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      <li id="field_22_22" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_22"><input autocomplete="password" type="hidden"
          name="input_22" class="aff_sub3" value=""></li>
      <li id="field_22_18" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_18"><input autocomplete="password" type="hidden"
          name="input_18" class="{time}" value="{time}"></li>
      <li id="field_22_26" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_26"><input autocomplete="password" type="hidden"
          name="input_26" class="ts" value=""></li>
      <li id="field_22_25" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_25"><input autocomplete="password" type="hidden"
          name="input_25" class="gclid" value=""></li>
      <li id="field_22_27" class="gfield gfield--type-text gf_invisible trusted-form field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_27">
        <div class="ginput_container ginput_container_text"><input autocomplete="password" name="input_27" id="input_22_27" type="text" value="" class="medium" aria-invalid="false"> <label class="gfield_label gform-field-label"
            for="input_22_27">TrustedForm</label></div>
      </li>
      <li id="field_22_28" class="gfield gfield--type-text gf_invisible referrer-form field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_28">
        <div class="ginput_container ginput_container_text"><input autocomplete="password" name="input_28" id="input_22_28" type="text" value="" class="medium" aria-invalid="false"> <label class="gfield_label gform-field-label"
            for="input_22_28">webreferrer</label></div>
      </li>
      <li id="field_22_29" class="gfield gfield--type-text gf_invisible ww2-form field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_22_29">
        <div class="ginput_container ginput_container_text"><input autocomplete="password" name="input_29" id="input_22_29" type="text" value="" class="medium" aria-invalid="false"> <label class="gfield_label gform-field-label"
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</form>

Text Content

National Debt Relief

Talk to a debt counselor toll free:

800-300-9550


CONTACT US RIGHT NOW TO GET OUT OF DEBT


REDUCE YOUR DEBTS

You could save much more than credit counseling or debt management and be debt
free sooner


COMPARE YOUR DEBT RELIEF OPTIONS

Get a free financial assessment from a certified debt counselor with no
obligation


LOW PROGRAM PAYMENTS

We let you pick a payment that you can afford. There is no fee until you see
results.


IS DEBT RELIEF RIGHT FOR YOU?

Our program is unique and specifically designed for individuals who would like
to be free of debt

Can't wait? Call us right now!


800-300-9550


GET YOUR FREE DEBT ANALYSIS NOW!

No commitment. Fill out the form to find out more...

 * First Name * Required
 * Last Name * Required
 * Email * Required
 * Phone * Required
 * Unsecured Debt Amount * Required
   Your Debt Amount$0 - $4,999$5,000 - $7,499$7,500 - $9,999$10,000 -
   $14,999$15,000 - $19,999$20,000 - $29,999$30,000 - $39,999$40,000 -
   $49,999$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 -
   $89,999$90,000 - $99,999$100,000+
 * Comments
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * 
 * TrustedForm
 * webreferrer
 * ww2SessionForm
 * tdSessionForm
 * gaSessionForm
 * js_cookie_enabled
 * url_of_page

Submit


Can't wait? Call us right now!


800-300-9550



© 2024, National Debt Relief, All Rights Reserved.

Please note that all calls with the company may be recorded or monitored for
quality assurance and training purposes. *Clients who are able to stay with the
program and get all their debt settled realize approximate savings of 46% before
fees, or 25% including our fees, over 24 to 48 months. All claims are based on
enrolled debts. Not all debts are eligible for enrollment. Not all clients
complete our program for various reasons, including their ability to save
sufficient funds. Estimates based on prior results, which will vary based on
specific circumstances. We do not guarantee that your debts will be lowered by a
specific amount or percentage or that you will be debt-free within a specific
period of time. We do not assume consumer debt, make monthly payments to
creditors or provide tax, bankruptcy, accounting or legal advice or credit
repair services. Not available in all states. Please contact a tax professional
to discuss tax consequences of settlement. Please consult with a bankruptcy
attorney for more information on bankruptcy. Depending on your state, we may be
available to recommend a local tax professional and/or bankruptcy attorney. Read
and understand all program materials prior to enrollment, including potential
adverse impact on credit rating.

180 Maiden Lane, 30th Floor, New York, NY 10038 All Rights Reserved.



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www.nationaldebtrelief.com Open in urlscan Pro 2600:9000:20c3:dc00:11:8b27:c6c0:93a1 Public Scan

Form analysis 1 forms found in the DOM

POST /applynow/

Text Content

www.nationaldebtrelief.com Open in urlscan Pro
2600:9000:20c3:dc00:11:8b27:c6c0:93a1 Public Scan

Form analysis
1 forms found in the DOM