Credit Intake Form

Credit Intake Form

Please fill out the form carefully. Any Questions are concerns Email optimumfinancialsolutionsllc@outlook.com TEXT/CALL (832) 877-0231
Thank you for taking the first step to joining the Credit Program
If someone referred you, please type his/her name here:
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
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 optimumfinancialsolutionsllc@outlook.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
Identity TheftData BreachNO
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.
Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

Credit Intake Form

Thank you for taking the first step to joining the Credit Program

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.