Credit Intake

Step into the 700+ Club

Helping you rebuild, restore, and reclaim your credit confidence.
- First Name*
- Last Name*
- Date of Birth*
  
  MonthDayYear
  Date
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address*
  example@example.com
- Current Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- City*
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- State*
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Zip Code*
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- YesNo
- Identity TheftData BreachNO
- Briefly describe your main credit challenges (collections, late payments, inquiries, etc.)*
- Sign Up for Credit Monitoring
  
  While you’re in the Credit Repair Program, you must keep your credit monitoring active and pay the monthly fees to avoid any delays. Please provide your credit monitoring credentials below. If you have not completed your credit monitoring, click the following link:
  
  https://app.myfreescorenow.com/enroll/B02C2088
- Document Upload: These documents are mandatory. I cannot move forward with cleaning your credit without the required file uploads. Please submit the following: (Valid ID, Social Security card, Any additional supporting documents, such as a recent utility bill, 1099 tax document, W-2)*
  
  PLEASE UPLOAD VALID ID, SOCIAL SECURITY CARD, AND A RECENT UTILITY BILL (REQUIRED)
  Cancelof
- I understand that All Profit Tax Solutions provides professional credit education and dispute assistance. While every client’s file is handled with care, there are no guarantees of specific credit score increases or deletions, as each credit bureau and creditor operates independently. I agree to provide accurate information, maintain active credit monitoring, and communicate promptly during the process.*
  
  I have read and agree to the terms above.I authorize All Profit Tax Solutions to review my credit reports for service evaluation.
- Signature*
  
  Clear
- Date
  
  MonthDayYear
  Date
- If someone referred you, please type his/her name here:*
- Should be Empty:

Step into the 700+ Club