• Credit Client Intake Form

    "Your Success Is Our Top Priority"
  • Format: (000) 000-0000.
  • 1. Do you know your current FICO Score?*
  • 2. Do you have a 620 or below?*
  • 3. Are you currently working with a credit repair agency or attorney?*
  • 4. Do you have all of your personal finance documents and information organized in a place that the appropriate people could easily find it if something were to happen to you?*
  • 5. Are you aware that identity theft is the fastest growing crime in our country today?*
  • 6. Do you have some type of identity theft protection system currently in place?*
  • 7. Do you currently have a budgeting and debt payoff tool or system that helps you pay off your debt most efficiently and enables you to know the exact month and year that you will be debt free?*
  • 8. If you are currently renting a home or apartment, are you reporting your rent payments to increase your credit score?*
  • 9. Do you have a credit card?*
  • Have you filed for bankruptcy in the past 7 years?
  • 10. Do you have a MY FREE SCORE NOW account?*
  • 11. If you do not have a MY FREE SCORE NOW account will you create one? We use My Free Score Now for our consultation.
  • 13. What is your end goal for improving your credit?*
  • 14. How much funding your looking to get, once we get you funded?
  • How would you like to be contacted?*
  • Please Select Your Appointment Time*

  • Authorization and Signature I authorize JD Wealth Enterprises to obtain my credit report and any other information neccessary to assist in evaluating and repairing my personal credit. I certify that all information provided in this intake form is accurate and complete to best of my knowledge.

  • Should be Empty: