Credit Intake Form
  • LET'S CHANGE YOUR LIFE. START HERE!

  • Do you currently have an active MYFREESCORENOW/CREDIT MONITORING account with us?*
  • Don’t have Credit Monitoring yet? Click here to get started—it's a necessary step before we can continue.

  • Please complete all sections thoroughly. Do not leave any questions unanswered or required uploads missing.

  • Are you currently a tax client with WealthWise Ally?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date of Birth*
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  • Have you ever used a credit repair company to dispute any accounts before?*
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  • ADDITIONAL SERVICES & UPGRADES

  • Turned down for a bank account because of ChexSystems? No worries—we’ve got you! Grab our $27 DIY kit that walks you through exactly how to remove yourself from ChexSystems.*
  • Want to jump ahead and speed things up? Upgrade to our expedited service for $499 and get priority handling with faster results.*
  • Starting a business and want to make sure it’s set up right for building business credit? Our Business-in-a-Box package has you covered—fees vary by state.*
  • CREDIT SERVICES CONTRACT

  • Dear Client,

    Thank you for choosing WealthWise Ally Financial Solutions to support your credit improvement journey. 

    We recognize that navigating the credit repair process can sometimes feel overwhelming or confusing. To help you fully understand each step, we ask that you carefully read through the following pages.

    After reviewing the materials, please complete all enclosed forms and return them to us along with the required documentation and payment.

    Additionally, be sure to send us copies of any correspondence you receive from the Credit Bureaus after retaining our services. These reports contain vital information that allows us to move forward with improving your credit profile.

    We’re committed to helping you restore your credit to good standing and are confident that you’ve made a wise decision by partnering with us.

    Scope of Service

    By purchasing this service, the Client acknowledges and agrees that the Credit Blast Service includes the following:

    ✅ One (1) Round of Aggressive Credit Disputes
    We will initiate a forceful challenge against negative, inaccurate, or questionable items on your credit report with all three major credit bureaus: Experian, Equifax, and TransUnion.

    ✅ Comprehensive Credit Consultation & Analysis
    You’ll receive a one-on-one review of your credit report to identify key problem areas and opportunities for improvement.

    ✅ Customized Credit Building Plan
    We’ll provide a personalized action plan designed to help you rebuild and strengthen your credit profile strategically.

    ✅ 90-Day Timeline
    The dispute process typically takes up to 45 days to receive responses from the credit bureaus, with the full service spanning approximately 90 days.

    Important Disclosures

    ⚠️ No Guaranteed Results
    We do not promise the removal, correction, or deletion of any specific item(s) during the initial dispute round. Some items may require multiple rounds, alternative strategies, or further escalation.

    ⚠️ Optional Additional Dispute Rounds
    If further dispute rounds are necessary beyond the initial Credit Blast, they are available at a rate of $99 per round.

    ⚠️ Client Responsibilities
    To proceed with this service, the Client must provide accurate personal details and grant access to their credit reports. Delays in submitting required information or documentation may affect the dispute timeline.

    ⚠️ No Refund Policy
    Due to the nature of credit dispute services, all sales are final and non-refundable once the process has begun.

    By signing below, the Client confirms that they have read, understood, and agreed to the terms outlined in this Credit Blast Service Agreement.

  • Please note that we do not retain copies of all documents you submit to us. To protect your privacy and maintain strict security protocols, only minimal information is stored in your physical file. All other documents are securely shredded. It is your responsibility to retain copies of any paperwork you may need for future reference.*
  • Please do not send original court documents or collection notices. Only submit copies of documents that support your case (such as proof of payment, court dismissal paperwork, etc.). We do not act as your legal representative. If legal issues arise or you require protection of your rights, it is your responsibility to seek assistance from a qualified attorney.*
  • CREDIT REPAIR ORGANIZATIONS ACT

  • SEC. 405. DISCLOSURES

    (a) Mandatory Disclosure:
    Before entering into any contract or agreement with a consumer, a credit repair organization must provide the consumer with the following written statement:

     

    Consumer Credit File Rights Under State and Federal Law


    You have a right to dispute inaccurate information in your credit report by contacting the credit bureau directly. However, neither you nor any "credit repair" company or credit repair organization has the right to have accurate, current, and verifiable information removed from your credit report. The credit bureau must remove accurate, negative information from your report only if it is over 7 years old. Bankruptcy information can be reported for 10 years.

    You have a right to obtain a copy of your credit report from a credit bureau. You may be charged a reasonable fee. There is no fee, however, if you have been turned down for credit, employment, insurance, or a rental dwelling because of information in your credit report within the preceding 60 days. The credit bureau must provide someone to help you interpret the information in your credit file.

    You are entitled to receive a free copy of your credit report if you are unemployed and intend to apply for employment in the next 60 days, if you are on welfare, or if your report is inaccurate due to fraud. Otherwise, a credit bureau may charge you a fee of up to $12.

    You have a right to sue a credit repair organization that violates the Credit Repair Organization Act. This law prohibits deceptive practices by credit repair organizations.

    You have the right to cancel your contract with any credit repair organization for any reason within 3 business days from the date you signed it.

    Credit bureaus are required to follow reasonable procedures to ensure that the information they report is accurate. However, mistakes may occur.

    You may, on your own, notify a credit bureau in writing that you dispute the accuracy of information in your credit file. The credit bureau must then reinvestigate and modify or remove inaccurate or incomplete information. The credit bureau may not charge any fee for this service. Any pertinent information and copies of all documents you have concerning an error should be given to the credit bureau.

    If the credit bureau's reinvestigation does not resolve the dispute to your satisfaction, you may send a brief statement to be kept in your file, explaining why you think the record is inaccurate. The credit bureau must include a summary of your statement about disputed information with any report it issues about you. 

    For additional information, please contact:
    Public Reference Branch
    Federal Trade Commission
    Washington, D.C. 20580

  • Privacy Notice

  • This notice outlines the privacy policies and practices of WealthWise Ally Financial Solutions ("WealthWise Ally"). It explains the types of non-public personal information we collect, how that information may be shared, and how you can instruct us not to share certain details with third parties. This policy applies to both current and former clients of WealthWise Ally.

    Additionally, this notice describes the measures we take to protect the confidentiality and security of your information.

     

    1. Information We Collect


    WealthWise Ally collects non-public personal information about you from the following sources:

    a. Information provided through your application or other forms submitted to WealthWise Ally
    b. Information obtained from credit reporting agencies
    c. Information received from affiliates and authorized third parties


    2. Information Sharing


    WealthWise Ally does not disclose your non-public personal information to any third party without your written consent, except as permitted or required by law.


    3. Information Security


    To safeguard your non-public personal information, we implement strict physical, electronic, and procedural security measures in accordance with federal regulations.


    Acknowledgment

    I acknowledge that I have received and reviewed a copy of this Privacy Notice on the date indicated below.

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