Legacy Credit Repair Intake

Credit Repair Intake

Initial Information form to create all needed accounts to activate the credit repair services. Personal and sensitive information that will be inputted on this form. Please ensure that you protect your information and all access provided to your email, which will contain a copy of your Intake Submission form once successfully submitted. We assure that all of your information is confidential and secured per our company's accountability statement regarding the Tennessee Division of Regulatory. Our company is licensed and bonded. We are a credible listed company. Your payment is operated through a secure gateway, Square.
If you have any questions, please contact us at 855-457-1249 or email us at contact@kssglegacywealth.info. We will respond as quickly as possible. You are invited to visit our website and browse other services that KSSG Legacy Wealth Group offers. Our website is http://www.kssglegacywealth.info. Note the 3 optional plans.

Each plan below is specific to the services you will receive.

Click below on the plan you select, and you will be routed to complete step 2 of your MANDATORY INTAKE on the road to a 750+ score. Do not forget to schedule an immediate consultation to follow up on any specifics. You will be routed to the booking page after submission of your intake.
Mandatory Sign up for Credit Monitoring. You have 2 steps that you must complete:

This is for credit monitoring:1. https://myfreescorenow.com/enroll/?AID=KSSGLegacyWealthGroup&PID=60858

This is for your onboarding: 2. https://www.newclientsignup.com/Agreement/Onboarding?crepto=0QpJhZSTtfi3DMp025c%2fRw%3d%3d

Submitting your information below will expedite activation of your account.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*
Please enter a valid phone number.
SS Identification *
ex: 000-00-0000
Date of Birth*
Format 00/00/0000
Upload a photocopy of your Identification and SS Card

Please try to make it as legible as possible. Blurred and blocked out information is unacceptable. You can choose to upload on this form or in your Credit Repair Portal.
Cancelof
Upload proof of address.

Please try to make it as legible as possible. Blurred and blocked out information is unacceptable. You can choose to upload on this form or in your Credit Repair Portal.
Cancelof
Upload any documents that involves disputes that you may have that needs immediate attention.

Please try to make it as legible as possible. Blurred and blocked out information is unacceptable.
Cancelof
Your signature authorizes KSSG Legacy Wealth Group to create an account and utilize your information provided on your Intake Form to provide Credit Repair Services. There are no guarantees of an increase in your score. It varies for each consumer. However, every outlined dispute level, as defined in your contract, will be administered and applied in accordance with your agreement. KLWG does not control each client's holdings; each client is responsible for maintaining clear communication regarding credit-based decisions. Our company maintains a consultancy-based service. Credit/debt counseling is part of our Membership services provided in our LEGACY WEALTH BUILDERS COMMUNITY. ALL OF YOUR INFORMATION IS CONFIDENTIAL AND IS ONLY INTENDED FOR THE PURPOSE OF CONSULTANCY. ALL CORRESPONDENCE IS THROUGH SECURITY MONITORED EMAILS AND CALLS FROM YOUR REPRESENTATIVE.

Join our Facebook Group at https://www.facebook.com/groups/1064573408663142

Also, visit our app for other offered services at

KSSG LEGACY WEALTH APP

Credit Repair Services

Monthly Credit Repair Tier Product Image

Monthly Credit Repair TierConsultation Initial Deposit of a Monthly Tier. The selected Tier is due 30 days from today.

$100.00 Quantity

One Time PaymentConsultation 3 month Round Up. No other payment due within 90 Days.

$200.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Cash App Pay

Your signature acknowledges the reading and understanding of the defined terms of Intake and Onboarding of KLWG ("KSSG Legacy Wealth Group") Consultancy Services.
Signature*
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