Make an offer

ACI Customer Reference * ACI Customer Name * Contact Number * Email * Payment Method * Offer Type *

Enter your One-Off Settlement Amount * Payable by when * Source of Funds * Please specify Source of Funds * What is your offer of repayment on a regular basis if we are unable to accept your settlement? * Select your Regular Repayment Frequency *

Select your Recurring Payment Frequency * Select your Recurring Payment Amount * Enter your Recurring Payment Amount *

I confirm that all my priority bills such as; mortgage or rent, Council Tax, gas, electricity and water are up to date, or if not, they are in a repayment plan and that my offer of payment on this form is both affordable and sustainable. *

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Unfortunately, we can't accept Direct Debit payments of less than £. Please enter £ or more to proceed or if you are unable to pay this amount, please telephone us on 01253 468735 to speak to one of our Case Managers who can help you.

If you're experiencing financial difficulties, you may wish to speak to one of the following organisations who can provide free and impartial debt advice:

Citizens Advice 0345 404 0506

StepChange 0800 138 1111

Money Helper 0800 138 7777

Please check all your details are correct before submitting

ACI Customer Reference
ACI Customer Name
Contact Number
Email
Payment Method
Offer Type
One-Off Settlement Amount
Payable By
Source of Funds
Regular Repayment Offer Amount
Regular Repayment Offer Frequency
Recurring Payment Frequency
Recurring Payment Amount
Priority Bills up to date

We need to ensure that all agreed payment arrangements are both affordable and sustainable. Therefore, if not already done so, it would be great if you could please complete an Income and Expenditure (I&E) form via our Online Portal in conjunction with making this offer. Completing an I&E is really useful when it comes to budgeting and also helps to check that your offer is affordable.

If you prefer not to complete an I&E form then that's also fine however, if you choose not to, we may look to contact you in the future to check that everything remains affordable and you are comfortable with your payment plan.

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Perch Group

Perch Capital

TM Legal

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Make an offer

Please check all your details are correct before submitting