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1
Name
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2
Email
*
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3
Phone #
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Area Code
Phone Number
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4
Birthday
*
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5
City & State Looking to Rent In
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6
Preferred Contact Method
*
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Call
Text
Email
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7
Have you ever been denied for an apartment?
*
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Yes
No
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8
If yes, what reason were you given?
*
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If answered NO, type N/A
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9
Do you have any of the following on your record?
*
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Eviction
Broken Lease
Unpaid Rent
Rental Collections
Judgement from a property
None of the above
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10
Approximate year(s) of eviction or rental issues:
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11
Have you ever tried to dispute or remove these items before?
*
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Yes
No
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12
Are you currently in a lease or searching now?
*
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Currently leasing
Need to move ASAP
Looking within 30-60 days
Just getting prepared
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13
Do you know your current credit score range?
*
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300-499
650+
580-649
500-579
Im not sure
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14
Do you have any of the following?
*
This field is required.
Disclaimer:
I am not a full credit repair agency. This service strictly focuses on cleaning and correcting tenant screening reports to help improve your chances of apartment approval. For full credit repair services, please seek a licensed credit professional.
Credit card debt
Collections (non rental)
Student loans
Auto loan or car repo
Bankruptcy
Identity theft or errors
None/ Not sure
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15
Are you open to pulling your credit report (free or paid)?
*
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Yes
No
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16
Do you need help pulling your report?
*
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Yes
No
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17
Are you currently employed or have consistent income?
*
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Yes
No
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18
Will you be the only one on the lease?
*
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Yes
No
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19
Do you have a co-signer or voucher (Section 8, etc)?
*
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Yes
No
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20
Are you willing to follow a step-by-step plan and take action each week?
*
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Yes
No
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21
What’s your biggest concern about your rental history or credit right now?
*
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22
What is your #1 goal in working with me?
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Ok
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23
How soon are you ready to start your Rental Rehab process?
*
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Immediately
Just gathering info
Within 1 week
Type option 4
In the next month
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24
When are you looking to move?
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25
Upload a recent credit report (optional but recommended)
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Select files to upload
Max. file size
: 10.6MB
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26
Upload any eviction notices, rental denials, or leasing-related docs (optional)
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Select files to upload
Max. file size
: 10.6MB
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27
How did you hear about me?
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