Big Shot Legal and Credit Restoration Form
Personal Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Birth Date
-
Month
-
Day
Year
Date
Credit Information
Are there any blemishes on your credit report?
Late Payments
Collections
Lien
Bankruptcy
Repossession
Judgement
Other
Are you having any other consumer issues?
Debt collectors calling
Being sued by bank or debt collectors
Slumlord Issues
Trouble acquiring Loans
Trouble obtaining Credit Cards
Trouble getting Apartment/Condo
Wage garnishments
Other
Credit Score
Ex: 800-850 as excellent
Have you ever had credit repair done before?
Yes
No
Other
Can you give a brief description of your credit or consumer law needs?
Please enter Credit Monitoring logins For Identity IQ, Experian, Transunion, Equifax, Etc, if available to view credit reports for analysis and provide date you prefer for consultation.(please specify which credit monitoring you are providing your credentials for in the notes below)
What Is the Budget you are looking to spend to Reach a 700+ credit score
What Date Works For You?
Choose a date and time for your free consultation
Appointment
Submit
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