Credit Sweep for Couple Intake Form

Are you both ready to fix your credit ?

What types of negative items are on your credit report? (Check all that apply)

How did you hear about us?

Start your Credit Journey!

Please be sure to complete both pages of the intake form for each person.

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Address (If less than 3 years)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone

Please enter a valid phone number.Format: (000) 000-0000.

Mobile Phone

Please enter a valid phone number.Format: (000) 000-0000.

Work Phone

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Date of Birth

Date

Referred By

First NameLast Name

Employed By

First NameLast Name

Do you currently have an updated credit report?

Here’s the credit monitoring link to get you access with MYFREESCORENOW Credit Monitoring Account

https://myfreescorenow.com/enroll/?AID=NextLevel750Agency&PID=47633

Enter your Login details for Credit Monitoring

What are your top credit repair goals? (Check all that apply)

What credit score are you aiming to achieve?

How committed are you both to improving your credit?

Reason/Goals for Credit Repair

Age

Have you and your spouse ever used a credit repair company to dispute any accounts before?

Name of Company

When?

Date

What accounts were disputed?

Are you planning on making any large purchases on your credit cards even though you will pay it off in a short time?

This is an important question because your utilization ratio can increase and reduce scores during our process increasing your credit score. Please write your initial that you understand this.

Do you both give us permission to contact you via text , phone or by email?

You can opt out anytime by contacting support@nextlevel750.com

Government-issued identification card, such as a driver's license or state ID card; please be sure the document is legible.

Social Security Card (if you don't have it, a W2/1099 or 1040(tax return) will work)

Utility Bill with the correct address

Date

Signature