New Customer Registration Form

Client Form:

Please complete form and submit.
Service needed:*

Payment Reduction (ONLY) $125Loan Consolidation/Repaymnet $155Scholarship Assistance $55 (Please complete Sections 1 &3 ONLY)FAFSA Assistance (Please complete Sections 1 &3 ONLY)$75Loan Forgiveness Assistance $35
Section 1
First NameLast Name
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
*
Telephone
Email
Section 2
Are you single or married?*

SingleMarriedDid Not File
Have you filed taxes within the last 2 years?*

YesNoDid Not File
If you filed, how did you file?*

SingleMarried Filing JointlyMarried Filing SeparatelyHead of HouseholdDid Not File
How many children do you have? (Including all grown and not living with you)*
How many individuals do you provide financial assistance to on a monthly basis? For instance, aiding a sibling, friend, or someone not listed as a dependent on your taxes, such as helping with bills, groceries, phone bills, etc.*
Please enter the total amount of all your monthly bills*
Do you currently hold a part-time position with taxable income? If so, are you working a minimum of 30 hours per week in your part-time role?*
To submit your application through the Student Aid website, please provide me with your current username and password. Once the application process is complete, you are advised to update your password for security reasons. (Website: www.studentaid.gov)*
Student Loan Consolidation ONLY:

*Consolidation will require a timeframe of approximately 6 to 8 weeks for completion via the Department of Education. In the case where your sole request involves an update to your repayment plan, the process might extend up to 14 business days with your servicer. Once you receive an email communication from the loan servicer, kindly remember to forward it to goldenkey2success@gmail.com. Your trust in me to aid you with your student loans is greatly appreciated.
Section 3
Regarding Payment:

Upon receipt of your application, we will send you an email confirmation along with an invoice to the email address you have provided in this form. You have the option to make payment using a card or through Cashapp ($GoldenKey2Success).

We appreciate your business.
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Client Form:

Student Loan Consolidation ONLY: