The Restore Kit™ Client Intake & Document Upload ✨
Complete the secure intake and upload the requested credit report and verification documents.
Client Information
Full Legal Name
*
First Name
Middle Name
Last Name
Preferred Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Street Address
*
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
*
Credit Report
Have you created your SmartCredit account?
*
Yes
No
Upload current 3-bureau credit report
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Identity Verification
Government-Issued ID Photo
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Proof of Name and Current Address
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Your Restoration Goals
Primary restoration goal
*
Improve my understanding of my credit
Address inaccurate/incomplete information
Build stronger credit habits
Prepare for homeownership
Prepare for business funding
Prepare for other financial opportunities
Other
What would you most like to accomplish through the Restore Kit?
Authorization & Acknowledgment
Authorization
Acknowledgment
*
Electronic Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
SUBMIT MY RESTORE KIT INTAKE →
SUBMIT MY RESTORE KIT INTAKE →
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