Website Script Design For Debt\Collection agency

I am interested in getting a script written for a website. I want it to be like a collection ageny / debtor reporting script. The features I want are A Users panel for my clients (business owners to add debtors) I want a username and password that must be entered to access the account (with captcha, timeout & lost password recovery functions) I want the user/client to be able to input the following information about their clients that owe them money [login to view URL] Name [login to view URL] Name [login to view URL] Social Security number [login to view URL] Drivers License number [login to view URL] Address [login to view URL] Phone Number [login to view URL] Cell Phone Number [login to view URL] Name (I would like this to be able to select 1-6 children, Possibly using a drop down and when they select the number of children I want it to add an extra text box for the additional children) [login to view URL] Owed [login to view URL] name that is owed the money [login to view URL] telephone number [login to view URL] contact person [login to view URL] address In the Users panel I want my clients to be able to 1. List new debtors 2. Delete or Modify Debtors 3. View all debtors they are claiming owe them I need a search function for my clients to be able to search the fields for debtors I want the search terms to be [login to view URL] Name [login to view URL] Social Security number ( i would like to search field to be for the last 4 digits or the entire SSN and the SSN results to only show as XXX-XX-Last 4 digits when searched & found) I do not want searches to show the entire SSN [login to view URL] Address [login to view URL] Phone Number [login to view URL] Cell Phone Number [login to view URL] Drivers License # [login to view URL] Name (I would like this to be able to select 1-6 children, Possibly using a drop down and when they select the number of children I want it to add an extra text box for the additional children) the search should only require 1 field to pull up and display all 7 results I would also like A Master Admin Panel for me(the website owner) to be able to view all debtors and fields and all information entered in the website ( no restrictions here. I want to be able to view all information on the accounts and I wouild like the Master Admin account to have the search capabilities) This script can be written in any code that can work on Ipads, PC, Mac, Android, IOS etc. I have no preference on coding script just no flash since it does not work for IOS. asp php ajax etc are fine. I would also prefer the script to resize itself to the size of the body area in my template maybe using css. I do not currently have a website template so if you could build one that would be fine