Y2K Credit Repair Questionnaire

- www.y2kcreditsolutions.com
- 585 Stewart Avenue, Suite 645 Garden City, NY 11530
- Main: (877) 552-1377
- Fax: (516) 504-8400
- customerservice@y2kcreditsolutions.com
Thank you for choosing to work with us, you’re now one step closer to Regaining your Financial Powers! In order to proceed with your phone/skype consultation, we will require an updated credit report from all three credit bureaus, with the current credit scores. Please feel free to provide your own credit report(must have all three credit bureau scores/detail) and if you are unable to do so, attached is the link to our score navigator site.http://scorenavigator.com/aff/y2kcred

This is a monthly subscription service; you can cancel at any time. Once you have created an account, we will need the user name and password/pin in order to proceed with your consultation. Once we have received your customer service information form, a copy of your id and logins, we will call you to schedule your phone consultation.

1. Why are you restoring your credit?
2. What is your time frame?
3. Have you attempted to have your credit fixed before?
4. What do you think your score is?
5.How many derogatory /delinquencies do you believe you have? (Collections, Charge offs, Judgments, etc.)
5a.List your delinquencies here click + sign to add more
6. What are your expectations for the credit restoration process?

7. What are your goals and aspirations for retirement?
8. Have you calculated how much income you'll need to support your desired lifestyle in retirement?
9. What steps are you currently taking to save and invest for retirement?
10. Do you have a retirement savings plan in place, such as a 401(k) or IRA?
11. Are you aware of the potential impact of inflation and healthcare costs on your retirement savings?
12. Do you have any concerns or uncertainties about your financial readiness for retirement?
13. Would you be interested in discussing strategies to help maximize your retirement savings and income?

- www.y2kcreditsolutions.com
- 585 Stewart Avenue, Suite 645 Garden City, NY 11530
- Main: (877) 552-1377
- Fax: (516) 504-8400
- customerservice@y2kcreditsolutions.com
PHONE:*
FAX:
Client Authorization of Report
The undersigned (hereafter “Client”), acting individually or as an authorized officer of a business or personal entity, hereby allows Y2K Credit Solutions/Debt Solutions to obtain their credit report from The Y2K affiliated Bank; Home Bridge Financial ( Home Loan). Accessing the report will refelect as a hard inquiry on the signees’ credit statement. A Copy of the report will be mailed within seven business days. For any questions, comments or concerns the signee may contact the affiliated loan officer; Mark Vejack, at Mortgage Loan Originator, 266799 HomeBridge Financial; Services, Inc. 152 Madison Avenue, 23 Floor, New York, NY, 10016, Office number: (212) 481-7700.
Client's Signature

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Client's Printed Name
Spouse's Signature (if applicable)

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Spouse's Printed Name

- www.y2kcreditsolutions.com
- 585 Stewart Avenue, Suite 645 Garden City, NY 11530
- Main: (877) 552-1377
- Fax: (516) 504-8400
- customerservice@y2kcreditsolutions.com
Customer Information Form
We appreciate you taking a few minutes to provide information about you using the below Customer Information Form. We will be able to better serve you with these details.
DateTime
Name: First:*
Middle:
Last:*
Date of Birth

MonthDayYear
Date
Social Security Number*
Cellular Phone:*
Home Phone:*
E mail:*
example@example.com
Current Address:*
City:*
Zip/Dostal Code:*
Previous Address:
State/Province:*
Referred by:
I authorize Y2K Credit Solutions to charge the agreed amount of $99.00 for my consultation fee, which will be credited to my Y2k Fee, if I decide to move forward with Y2kCS Services.
Card Info:*
Expiration:*
CCV:*
Signature:

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