Credit Evaluation

*YOU ARE UNDER ABSOLUTELY NO OBLIGATION FOR REQUESTING A FREE ONLINE CREDIT EVALUATION*

We will gladly evaluate your credit situation before you obligate to anything!

If you have ever experienced any type of financial difficulties there is a high probability that your credit files are currently reporting potentially negative, inaccurate, or unverifiable information. By telling us what type of negative account history you have experienced, the approximate ages of these delinquencies, we can evaluate your current situation and tell you if we feel our services can be of benefit to you. We also recommend you view our Current Statistics information to get an idea of our past successes.

Please enter your contact information

First Name: Last Name: Street: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: E-mail: (If you do not enter a valid phone number, we can not respond to your request for a Free Evaluation. If you do not have a phone, please include a e-mail address so we may contact you.)

Additional contact information (If you would like someone from our office to call you)

Main Phone #:    Alternate Phone #:

Please answer any of the following questions that apply to your situation.

1. Have you ever filed Bankruptcy?    NO YES If NO, please continue What Chapter was it?    Chapter 7 Chapter 13 Not Sure   When was it filed?

2. Do you have any Tax Liens?    NO YES If NO, please continue How long ago was it filed?

3. Do you have any Judgements or Garnishments?   NO YES If NO, please continue How long ago was it filed?

4. Do you have any Collections accounts (even medical)?    NO YES If NO, please continue How old are they?

5. Do you have any Charged Off accounts?   NO YES If NO, please continue How long ago were they charged off?

6. Have you ever had an Automobile Repossessed?    NO YES If NO, please continue How long ago?

7. Have you ever had any real estate go into Foreclosure?    NO YES If NO, please continue How long ago?

8. Do you have any Late Payments?    NO YES If NO, please continue How long ago were you late?

9. Do you have any good accounts opened in the past 18 months?    NO YES If NO, please continue

10. Are you trying to Finance or Refinane your home?    Finance Refinance Neither Please submit your REQUEST

Is there anything else you would like to tell us about your credit situation? (Optional)