Personal Credit Build Form

* = Required Information

Client Information

Full Name *

Phone Number *

Email Address *

What is the address on your ID?

Date of Birth *

Social Security Number *

Where were you born?

Need your credit report: logon and request

www.annualcreditreport.com

PLEASE CLICK HERE!

Credit Scores & Bureau Information

Equifax Score *

Monitoring Login

Password

www.equifax.com

Experian Score *

Monitoring Login

Password

www.experian.com

Transunion Score *

Monitoring Login

Password

www.transunion.com

Other Credit Agency:

Name of Credit Monitoring Company

Password

Were you impacted by the cyber hacking? *

Yes

Don’t know click below to find out.

https://www.equifaxsecurity2017.com/
https://www.databreachinfo@experian.com/

Credit & Credibility Killers

Inquiries? (more than 4 within the last 12 months) *

Yes

Enter Number of inquiries on each Bureau.

Equifax

Experian

Transunion

My Fico

INNOVIS

Late Payments? *

Yes

List the number of late payments.

Equifax

Experian

Transunion

My Fico

INNOVIS

Collections? *

Yes

List the number of collections.

Equifax

Experian

Transunion

My Fico

INNOVIS

Public Records? *

Yes

List the number of public records.

Equifax

Experian

Transunion

My Fico

INNOVIS

Incorrect Information

Incorrect Address(s)? *

Yes

Name is misspelled. *

Yes

Do you live at the address where the accounts were opened?

Yes

Wrong Employer *

Yes

What is the Name of your Employer? *

How long have you been employed? *

Annual Income? *

Employer Address *

Position? *

Some Account are not yours? *

Yes

Account Number on credit report Match the account number on the cards/loans or contracts? *

Yes

Wrong Account Number? *

Yes

Balances not correct. *

Yes

Low Credit Limits Established? *

Yes

No Credit Established? *

Yes

Credit Usage is too high? *

Yes

No or few Primary Accounts? *

Yes

What is your Primary Goal?

Loans or Lines of Credit? *

Yes

Credit Cards? *

Yes

Employment? *

Yes

Housing?

Yes

Auto?

Yes

Other(please specify)

Are you seeking to start a business?

Yes

Do you need business credit building?

Yes

Have you or another attempted to repair or boost your credit? *

Yes

Attach your 3 bureaus credit report. ID A bill at the address on the ID SS Card

How did you hear about us?

I understand Credit Coaching and Advocacy is fee for service product and a payment will be required.

Credit Build is not a credit repair company. Credit Build is a Credit Coaching & Advocacy Firm