CREDIT REPAIR FORM

Full Name

Phone *

Email *

Have You Ever Had Credit Repair Done Before ? If Yes, How Long Ago?

Are There Any Negative Items On Your Credit Report?

Late Payments
Repossessions
Collections
Others
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Are You Having Trouble Qualifying For Any Of These Products?

Auto Loans , Credit Cards, Apartment / Mortgage

What Goals Do You Have Once Your Credit Is Repaired?

Are you a Business Owner or Consumer?

Are You Referred By Anyone?

Please sign in to IdentityIQ using the provided link and complete the one-dollar payment for the 7-day trial. You can cancel anytime before the trial period ends. Once you’re set up, kindly obtain a full credit report and upload the PDF in this form. https://member.identityiq.com/sc-securepreferred.aspx?offercode=431289VQ

Upload the PDF here:

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