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Credit Repair Help
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18
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1
Please verify that you are human
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2
Image Field
We are here for you every step of the way on your credit journey!
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3
WHAT DO YOU HAVE ON YOUR CREDIT REPORT?
Pick from the list below which accounts are concerning you.
MEDICAL COLLECTIONS
REPOSSESSION
COLLECTION ACCOUNTS
LATE MARKS
CHARGE OFF
FORECLOSURES
BANKRUPTCY
INCORRECT INFORMATION
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4
WHO REFERED YOU TO US?
Pick from the list below.
REALTOR
MORTGAGE LOAN OFFICER
LAWYER
COMMERCIAL LOAN OFFICER
AUTO DEALERSHIP
TITLE COMPANY
EXISTING CLIENT
FRIEND/FAMILY MEMBER
SOCIAL MEDIA
WEBSITE
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5
What is the name of the person that referred you to us?
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Name of your friend, realtor, loan officer, lawyer, accountant etc....
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6
ARE YOU TRYING TO BUY A HOME?
*
This field is required.
When your credit score is too low, getting qualified for a loan may be harder.
YES - I want to stop renting
NO
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7
DID YOU GET DECLINED FOR A MORTGAGE?
*
This field is required.
YES
NO
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8
DO YOU CURRENTLY HAVE CREDIT CARDS?
*
This field is required.
Its important to have a good amount of credit mix. If you do not have a credit card, we can help!
YES
NO
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9
DO YOU NEED HELP GETTING A CREDIT CARD?
*
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YES
NO
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10
ARE YOU A BUSINESS OWNER?
*
This field is required.
YES
NO
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11
DO YOU NEED HELP GETTING A
BUSINESS
CREDIT CARD?
*
This field is required.
YES
NO
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12
What is your prefix?
Mr.
Mrs.
Miss
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13
General Information
*
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First Name
Last Name
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14
Phone Number
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Area Code
Phone Number
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15
What state do you live in?
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This is your primary residence.
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16
Email
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example@example.com
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17
If you have any additional comments type below
Let us know what is on your mind. We are here to help.
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18
DO YOU HAVE A COPY OF YOUR CREDIT REPORT?
*
This field is required.
Imagine going to your mechanic without your car and asking them what is wrong with your car? Same thing can be understood about credit repair. How can we tell you what is wrong without your credit score without a credit report? We need your credit report! At the end of this form you will be prompted to IDIQ. This is the credit monitoring that our clients use and the credit reports that we need. We will need three things from you 1.) Your Username 2.) Your Password. 3.) Security Code. A representative will reach out to you soon and explain how our program works. If you have any questions call our office 561-208-1105.
YES
NO
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