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Welcome
Welcome to BK Morgan Consulting Group. Let’s get a clear picture of your credit goals and determine your next steps.
35
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1
Full Legal Name
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First Name
Middle Name
Last Name
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2
Date of Birth
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Date
Month
Day
Year
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3
Current Street Address
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Street Address
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New Caledonia
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Niger
Nigeria
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Oman
Pakistan
Palau
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Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
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Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
City
State / Province
Postal / Zip Code
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4
Mobile Phone
*
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Please enter a valid phone number.
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5
Email
*
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example@example.com
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6
Preferred Contact Method
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Please Select
Text
Phone
Email
Please Select
Please Select
Text
Phone
Email
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7
Best Time to Contact
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8
Primary Credit Goals
*
This field is required.
Improve overall credit profile
Understand my credit reports
Address inaccurate information
Address accounts I believe are not mine
Prepare for a mortgage
Prepare for auto financing
Prepare for credit cards
Prepare for business funding
Improve credit utilization
Rebuild after previous credit problems
General credit education
Other
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9
What are you hoping to accomplish in the next 3–12 months?
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10
Approximate Current Credit Score
*
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Please Select
Below 500
500–549
550–599
600–649
650–699
700–749
750 and above
Not sure
Please Select
Please Select
Below 500
500–549
550–599
600–649
650–699
700–749
750 and above
Not sure
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11
Access to all three credit reports (Experian, Equifax, and TransUnion)?
*
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Please Select
Yes
No
Not sure
Please Select
Please Select
Yes
No
Not sure
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12
Upload Existing Credit Report
Do not upload passwords, credit-monitoring login credentials, banking passwords, or full credit/debit card numbers.
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Select files to upload
Max. file size
: 10.0MB
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13
Items Currently on Your Credit Reports
*
This field is required.
Late payments
Collections
Charge-offs
Repossessions
Foreclosures
Bankruptcies
Judgments
Inquiries
Medical collections
Student loans
Tax liens
I'm not sure
Other
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14
Are there accounts or information on your reports that you believe are inaccurate, incomplete, or do not belong to you?
*
This field is required.
Please Select
Yes
No
Unsure
Please Select
Please Select
Yes
No
Unsure
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15
If yes, which items concern you and why?
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16
Have you previously disputed information with Experian, Equifax, or TransUnion?
*
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Please Select
Yes
No
Not sure
Please Select
Please Select
Yes
No
Not sure
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17
If yes, which bureau(s), approximately when, and what was the result?
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18
Do you have copies of previous dispute results or correspondence?
*
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Please Select
Yes
No
Please Select
Please Select
Yes
No
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19
Upload Previous Dispute Letters or Credit-Related Correspondence (if applicable)
Upload any previous credit bureau dispute letters, investigation results, creditor or collection agency correspondence, identity-theft related correspondence, CFPB complaint responses, or other documents related to the credit concerns you would like reviewed.
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: 10.0MB
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20
Do any of your concerns involve suspected identity theft or fraud?
*
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Please Select
Yes
No
Unsure
Please Select
Please Select
Yes
No
Unsure
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21
If yes, did you file a report on IdentityTheft.gov?
Please Select
Yes
No
Please Select
Please Select
Yes
No
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22
If yes, did you file a police report?
Please Select
Yes
No
Please Select
Please Select
Yes
No
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23
Approximately when did you discover the suspected identity theft?
-
Date
Month
Day
Year
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24
Upload identity theft supporting documents
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Select files to upload
Max. file size
: 10.0MB
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25
Upload government-issued photo ID
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: 10.0MB
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26
Upload proof of current address
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: 10.0MB
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27
Upload identity-verification document
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: 10.0MB
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28
Upload credit bureau correspondence and related documentation
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Max. file size
: 10.0MB
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29
Consultation Acknowledgment Text
BK Morgan Consulting Group LLC provides credit education, credit-report analysis, and consultation services. The purpose of this consultation is to help me better understand the information appearing on my consumer credit reports and available options for addressing my credit concerns. I understand that BK Morgan Consulting Group LLC does not guarantee the removal of any account or information, any specific credit-score increase, approval for credit or financing, or any particular outcome. I understand that information provided during the consultation is educational in nature and is not legal, tax, or financial advice.
Read this information before checking the acknowledgment box.
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30
I have read and agree (Consultation Acknowledgment)
*
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I have read and agree
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31
Information Accuracy Certification Text
I certify that the information and documents I provide to BK Morgan Consulting Group LLC are accurate and truthful to the best of my knowledge. I understand that BK Morgan Consulting Group LLC will rely on the information I provide when reviewing my credit profile and preparing consultation recommendations. I agree not to knowingly provide false, misleading, altered, or fraudulent information or documents.
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32
I certify that the information I have provided is accurate and truthful to the best of my knowledge
*
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I certify
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33
I consent to BK Morgan Consulting Group LLC contacting me by phone, email, or text message regarding my consultation request, submitted documents, appointments, and services I have requested.
I consent to be contacted
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34
Electronic Signature
*
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35
Date Signed
*
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Date
Month
Day
Year
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