• Credit Restoration Program Application

    The Credit Builders Group | A Division of Memphis Tax Company
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    Thank you for your interest in The Credit Builders Group Credit Restoration Program. This application helps us determine whether our program is appropriate for your current credit and financial situation.

    Submitting this application does not automatically enroll you in the program or guarantee acceptance. Please answer all questions accurately. If your application is approved, you will receive additional information regarding program requirements, required consumer disclosures, agreements, credit monitoring and onboarding.

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  • Section 2 — Program Eligibility

  • 1. Are you currently employed or do you have another stable source of income?
  • 2. Are you currently behind on your regular monthly financial obligations?*
  • Are you currently able to make your regular monthly payments going forward?*
  • 3. Are you currently in an active bankruptcy?
  • 4. Are you currently working with another credit repair or credit restoration company?*
  • When did you begin working with this company?
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    2 digit month, 2 digit day, 4 digit year
  • Have you worked with another credit repair company within the past six months?*
  • Section 3 — Required Credit Monitoring

  • Our program requires active three-bureau credit monitoring for the duration of services. The monitoring service is provided by a separate third-party company and currently costs approximately $29.99 per month. Are you willing and financially able to maintain the required credit monitoring service while participating in the program?*
  • I understand that credit monitoring is separate from The Credit Builders Group's program fees and must remain active while I am receiving services.*
  • Section 4 — Tell Us About Your Credit

  • Which credit issues are you currently experiencing?Select all that apply.*

  • Do you currently have at least one OPEN credit card account?*
  • Are you currently carrying a balance on any of your credit cards?*
  • When did you last review your credit reports from all three major credit bureaus (Experian, Equifax, and TransUnion)?*
  • Section 5 — Your Financial Goals

  • Are you planning a major purchase or financial transaction in the foreseeable future?*
  • If yes, What are you planning?*

  • Approximately when do you hope to make this purchase?
  • Would you like information about the homebuying process and preparing for future mortgage readiness?*
  • Yes, I would like April Davis-Cunningham, REALTOR®, to contact me separately regarding my homeownership goals./ Real estate services are provided separately through April Davis-Cunningham, REALTOR®, licensed in Tennessee and Mississippi with KAIZEN Realty. Requesting real estate information is optional and is not a requirement of The Credit Builders Group Credit Restoration Program.*
  • Section 6 — Applicant Acknowledgment

  • I have read, understand, and agree to the Applicant Certification & Acknowledgment above.*
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: