Credit-Restoration-Customer-Preliminary

Credit Restoration Client Preliminary Form
Date

MonthDayYear
Date
Full Name
Phone
Denied credit in last 60 days?
Email
example@example.com
Are You Married?
List Current Credit Problems, check all if you know.
Slow Pay?
Collections?
Charge Offs?
Judgments/Liens?
Bankruptcy?
(Chap: 13 or 7) Repossessions?
(Chap
Repossessions?
Foreclosure?
Inquires?
Are you caught up on current bills?
Do you have a copy of your credit reports?
What are your Credit Goals & Comments
Office Use
Company Name
Confidential Connect4Credit connect4credit.com
Should be Empty: