| |
Complete our form to
get a FREE no obligation consultation about
credit report repair
with a credit
specialist today!
 |
| FIRST
NAME:* |
LAST
NAME:* |
|
|
| E-MAIL:* |
ADDRESS:* |
|
|
| ZIP
CODE:* |
DAY
PHONE:* |
|
|
|
| BEST
TIME TO CONTACT:* |
CREDIT
ISSUE:* |
|
|
DO YOU HAVE OVER $10,000
IN CREDIT CARD DEBT?
YES
NO |
IF YES,
WHAT IS THE TOTAL AMOUNT OF YOUR CREDIT CARD DEBT?
IN ADDITION TO BEING CONTACTED BY A LAW FIRM TO HELP IMPROVE YOUR CREDIT SCORE, WOULD YOU LIKE TO BE CONTACTED BY A DEBT-HELP SPECIALIST TO LEARN HOW YOU CAN GET RID OF DEBT THAT YOU LEGITIMATELY OWE?
YES
NO |
| DO YOU HAVE TAX DEBT? |
YES
NO
|
|
| TOTAL TAX DEBT:* |
TYPE OF TAX DEBT:* |
|
|
|
| DESCRIPTION OF TAX DEBT PROBLEM:* |
|
|
DO YOU HAVE $10,000 OR MORE IN
FEDERAL STUDENT LOAN DEBT?* |
YES
NO
|
|
|
|
|
|
|