Credit Repair Service Intake Form

Credit Monitoring Subscritpion (Please note: Maintaining credit monitoring is required for our services.)

I currently have credit monitoringsubscription.

I need assistance setting up my credit monitoring subscription.

Credit Goals (Please check all that apply)

Negative Items to Dispute (Please check all applicable items you want us to dispute on your behalf)

Legal Requirements - Contract and Limited Power of Attorney (Signing these documents allows us to act on your behalf in the credit repair process. Please check below if you agree.)

I agree to sign the service contract and limited power of attorney.

I do not agree to sign the service contract and limited power of attorney.

Credit Repair Program Intake Form

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