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REBUILD, RESTORE - RECEIVE RESULTS!
Once you get started with our proven approach to credit restoration, you may begin to see exciting results within the first 60 to 90 days
Zip Code
Do you have any debts?
(check any that apply)
None
Garnished Wages
Parking Tickets
or Toll Way Fines
or Toll Way Fines
Taxes or Other
Government Related Debt
Government Related Debt
Creditor Harassment
Due to Unpaid Bills
Due to Unpaid Bills
Behind On Car
or House Payments
or House Payments
Child Support
or Student Loans
or Student Loans
Other
How many credits cards do you have?
0
1
2
3
More than 3
Do you own real estate?
Yes
No
Have filed for bankruptcy in the last 8 years?
Yes
No
Are you currently employed?
Yes
No
Are you married?
Yes
No
How many children do you have?
0
1
2
3
More than 3
Have you filed the last 4 years of taxes?
Yes
No
Not Required to File Taxes
What is your monthly average income?
$0 - $1,500
$1,500 - $3,000
$3,001 - $4,500
More than $4,500
What is the total contributed household monthly income?
$0 - $1,500
$1,500 - $3,000
$3,001 - $4,500
More than $4,500
Do you have any other types of income?
(check any that apply)
None
Social Security, Pension or Retirement Income
Child Support
or Alimony Income
or Alimony Income
Unemployment or Other Government Assistance
Rental Income
Personal Business Income
What is the amount of non-employment household income?
$0 - $1,500
$1,500 - $3,000
$3,001 - $4,500
More than $4,500
Do you have any of the following?
(check any that apply)
None
Checking
Savings Account
Online Debit Card
Do you have any of the following?
(check any that apply)
Investments
Have you recently sold property worth $500 or more?
Yes
No
Are you expecting a tax return?
Yes
No