Credit Repair Checklist

Name of the Individual

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email Address

When the last time you obtained a recent credit report?

We use a credit monitoring website to review accurate credit scores that I will send to you, which is a link. If you don't have an account, please create one. This is very important during the process of getting your credit repaired. We can discuss this more if needed. Please type "OKAY" if you understand.

Would you be interested in purchasing a tradeline?

YesNoI'm not for sure yet.

Please list your credit scores: Equifax, Experian, TransUnion Credit Score.

1. Is your credit scores stopping you from getting approved? Things as cars, homes, loans, higher interest rate than normal, etc?

YesNoJust a little bit.Other

2. Which of the following is listed on your credit report?

Approximately how many collection accounts, charge offs, late payments, repossessions do you have on your credit report.

4. Can you provide a picture of your ID and a copy of any bills or bank statement that has your address on it? The Credit Bureaus must have these documents.

YesNo

Please submit a picture of your ID or passport.

Enter your social security number *

Copy of a bill, utility bill, lease/mortgage statement, or bank statement. (Must have your address on it) If you submit a bill, please make sure its less than 45 days old. You can also provide a picture of your social security card or birth certificate. *

Upload your Social Security Card or Birth Certificate*

Have you worked with a credit repair company before?

YESNO

Are you current with all of your bills?

YESNO

Did someone refer you? If so please list their name.

5. Additional Question/Notes

What is your goal or the reason to for credit repair?

Reminder to all Clients

Credit repair can take up to five days to six months to see results. (Depending on the service you choose)
Remember credit repair is a process.
During the credit repair process, it is important to miss no payments.
During the credit repair process, do not apply to no credit cards, cars, and loans.
I cant start on your credit until I have all information. It is your responsibility to make sure your log ins are accurate and you have a credit monitoring site.

IMPORTANT: (1) By signing below, I certify that all information is accurate and complete. My signature authorized JC LUXE COMPANY to repair my credit. I am aware that I will need to have a credit repair credit monitoring website.

IMPORTANT: (2) I understand that it will take 1-7 business days for my disputes to be submitted. I am aware that results vary.

IMPORTANT: (3) I understand that JC LUXE COMPANY does not offer refunds for the credit repair process.

IMPORTANT: (4) I understand that it can take 5-90 days to see results from the credit bureaus. Delays may occur and JC LUXE COMPANY has no control. JC LUXE COMPANY will keep you updated throughout the process.

IMPORTANT: (5) Please do not submit fraudulent documents such as stolen social security number, fake utility bills, etc. This can turn into a federal crime.

IMPORTANT: (6) I am aware that applying for new credit, loans, and missing late payments can delay and/or decrease your credit score.

Signature