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Intake Form

Fill out the form below and book your free 15 minute consultation call today

Personal Information
Credit Overview
Current credit score range Required
Which credit reports have you reviewed? Required
Major negative items (check all that apply): Required
Have you disputed any accounts before? Required
Employment & Income
Current employment status: Required
Length of time at current job or business: Required
Primary income frequency: Required
Approximate gross monthly income (before taxes): Required
Do you have verifiable income documentation? Required
Business Information
Do you currently own a business? Required
If yes, business status:
Business age:
Average monthly business revenue (if any):
Business setup checklist (check all that apply):
Funding Goals
Why are you looking to fix your credit (check all that apply) Required
Are you seeking funding right now? Required
What type of funding are you aiming for (check all that apply)? Required
Target funding amount: Required
Commitment & Fit
Are you willing to follow instructions exactly? Required
Are you prepared to mail disputes and follow up on time? Required
Do you understand results are not guaranteed and depend on execution? Required
Final Confirmation
Which option are you applying for? Required
Which paymet option best suits your bus? Required
I understand all payments are final and non-refundable Required
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