Debt Consolidation Funding Inquiry Form
Please note this is not an application, and your credit will not be pulled. This form is to connect you with an Approved Nation funding expert, and to see your eligibility for funding.
Name
*
First Name
Last Name
Email
*
We will not spam you, but we will email you regarding your intake form, application process and other related funding information
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Where Do You Monitor Your Credit
*
Credit Karma
Experian
MyFICO
IdentityIQ, MyScoreIQ, or Smart Credit
Bank
I don't monitor at this time
What Are Your Current Credit Scores?
*
How Much Credit Card Debt Are You Trying to Consolidate
*
How Much Are You Paying Monthly On Your Credit Card Debt?
*
How Many Cards Are You Looking to Pay Off/Down
*
Please Select
1-3
4-6
7+
What Type of Income Do You Have
*
w2 Employee
1099 Independent Contractor
w2 Business Owner
1099 Business Owner
SSI/Disability
Other
How Much Did You Make In 2025? (Provable Income)
*
Get this number from your w2, 1040 tax return line 31, or schedule c for 1099 business owners
Do You Have Any of The Following On Your Credit Report
*
Collections/Charge Offs
Late Payments Last 12 Months
More than 4 Inquiries in Last 6 Months
Mortgage Purchase in the Last 12 Months
Have You Started Up with a Debt Settlement Company?
*
Yes
No
What is That?
What Are Your Goals for Paying Off/Down Your Credit Card Debt?
*
By submitting this form, you agree to be contacted by Approved Nation via phone, text, and email, including the use of automated technology. Consent is not a condition of purchase. Message and data rates may apply.
*
I, Consent
Submit
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