Urban Financial Solutions Credit Repair

Urban Financial Solutions
Client Application
PLEASE PRINT (Exactly as your Identification)
Name

First NameMI: Last Name
Current Address:
City:
State:
Zip:
Previous Address (If less than 3 years):
Previous Address (If less than 3 years):
Home Phone:
Mobile Phone:
Email 1:
example@example.com
Email 2:
example@example.com
Date of Birth:

MonthDayYear
Date
SSN:
Referred By:
Reason for Credit Repair:
Reason for Credit Repair:
Important Information Please READ

Urban Financial Solutions Understandings (Mandatory Completion)
Credit repair can be a very lengthy process. Please read the statements below and check off that you have read and understood the statements below. Not completing will delay your financial wellness process.
You will receive an invoice monthly for this program. There is a 5-day grace period for all invoices to be paid. Non payment is breach of agreement and automatic termination.

I Agree
I understand IDIQ credit monitoring is REQUIRED during the entire credit repair process. I understand not having it will cause delays. I understand that the credit monitoring is my responsibility. Please pick the IDIQ package that updates every 30 days.

I Agree
I understand that credit repair is a lengthy process.

I Agree
I understand during credit repair my credit score may decrease due to the removal of a negative account with some positive credit history being removed.

I Agree
I understand that all results may vary and credit repair is not guarantee

I Agree
I understand that Urban Financial Solutions representatives are not lawyers and cannot give out legal advice.

I Agree
I understand the enrollment fee is for the retaining of a Urban Financial Solutions Consultant, the creation of my account, creation of my credit audit and the creation of my investigations forms for preparation to be mailed out.

I Agree
I understand the monthly fee is different from the enrollment fee, the monthly fee is due AFTER Urban Financial Solutions sends my monthly update.

I Agree
I understand that together we will work hard to get the best results possible.

I Agree
Please indicate if you are planning to make any large purchases even if you believe you will pay the full balance in a short time?

YesNo
This is an important question because your utilization ratio can increase which may reduce your credit scores during our process of assisting you to increase your credit scores.
Please write your initial that you understand this.
Sign:
Date:

MonthDayYear
Date
**If applying with your spouse/significant other, you will need separate applications.
My Products
prevnext( X )
$100 Initial start-up fee ($75.00 for each month )$100.00
Please note your card will be charged $100.00 for our retainer fee which includes Consultation & Initial Start-up Fee, then a monthly fee of $75 dollars until you either cancel or credit repair is complete.

$299 Alternative Payment Option ($35.00 for each month ) $299.00
Please note you are receiving the same service as the initial start-up. However, your card will be charged $299.00 for our retainer fee which includes enrollment and registration, then a lower monthly fee of $35 dollars until you either cancel or credit repair is complete.

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Urban Financial Solutions

Client Application

Important Information Please READ