CREDIT INTAKE APPLICATION

CREDIT INTAKE APPLICATION

Please fill out this form carefully.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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.
This is mandatory for me to work on your credit.

Please click the link below to register for your credit monitoring.

MyFreeScoreNow

Note: To allow us to work on your account, your credit monitoring must remain active at all times.

Once you’re done, please send your username and password to info@sjdlegacygroup.com

IMPORTANT: If your credit monitoring is not updated within 5 days, your service will be cancelled and a reactivation fee will be required to continue.
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)*

Cancelof
Check the options below if you're a victim of the following:*

Identify theftData BreachNo
Have you worked with a credit repair company before?*

YesNo
SJD Legacy Group would like your consent to send text message communications from +18555296293 to your mobile number listed above, regarding account notifications, customer care, delivery notifications. Consent is not a condition of purchase. Message frequency varies. Message and data rates may apply. Reply 'STOP' to unsubscribe at any time. Reply 'HELP' for assistance or more information.

Yes- Yes, I consent to receive informational messages from SJD Legacy Group regarding account notifications, customer care, delivery notifications.No- I do not want to receive any text messages from SJD Legacy Group. We do not share your mobile opt-in information with anyone. See our Privacy Policy for more information on how we handle your data.
Briefly describe your main credit challenges (collections, late payments, inquiries, etc.)*
By signing this document or form, you are giving permission for us to access your credit reports and any necessary documents or information required to provide you with the best service.
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Date Signed*

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CREDIT INTAKE APPLICATION

Sign Up for Credit Monitoring

By signing this document or form, you are giving permission for us to access your credit reports and any necessary documents or information required to provide you with the best service.