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Section 1 of 2
NCR Credit Repair
Our credit counseling services have helped thousands of hard-working men and women get their credit back in good standings. NCR Credit Repair uses aggressive strategies and conventional dispute methods to ensure maximum results in restoring our clients credit. Our process is based on the knowledge of consumer laws and experience with the credit bureaus. We take advantage of your rights as established by the Fair Credit Reporting Act (FCRA).
Full Name & Current Address
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E-Mail Address
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Telephone Number 
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How did you hear about Us ?
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Section 2 of 2
NCR Credit Repair Assessment Form
Please Complete
How soon are you ready to start Credit Restoration
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Right Now
Within 30 Days
Other…
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What is your Current Credit Score ?
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601-660
661-780
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Have you filed for Bankruptcy in the past 7 yrs?
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Yes
No
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Which of the following inaccuracies do you currently have on your credit report?
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Please provide a brief description
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Collections
Late Payments
Child Support
Tax Liens
Student Loans
Charge Off Accounts
Medical Bills
Identify Theft/Fraud
Court Judgement
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Please provide a Brief Summary of what your Goals are with regard's to improving your credit scores. Ex: Credit plans (buying a car, applying for a mortgage, etc.)
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Short Term & Long Term
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Please go to Experian.com / Create a Free account which will show your Experian Scores only so we can get an assessment of your Credit Profile
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One of our Credit consultation will review your file and contact you.
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Credit Report Log In Details
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Username / Password - Provide Security Questions Answers & Last 4 Digits of S.S  Please use password - Last name 123 (Example: harris123)
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Please go to Creditkarma.com/ / Create a Free account which will show 2 of your Scores (Equifax & TransUnion) so we can get an assessment of your Credit Profile
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Provide Username / Password - Please use password - Last name 123 (Example: harris123)
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Please provide an estimate of your Household Monthly Income
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How long have you been at your current address
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Less than 2 years
More than 2 years
Less than 5 years
More than 5 years
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What is your years of Employment
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Less than 2 Years
More than 2 Years
Less than 5 Years
More than 5 Years
Currently Not Working
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Have you File Taxes for 2021
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Yes
No
Option 3
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Have you had prior Credit Restoration
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Never
Yes Within Last 6 Months
Yes Within Last 12 Months
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By entering my contact information and clicking "Submit " I consent by electronic signature to be contacted by telephone or by email. 
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Full Name & Current Address
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E-Mail Address
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Telephone Number 
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How did you hear about Us ?
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NCR Credit Repair Assessment Form
How soon are you ready to start Credit Restoration
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What is your Current Credit Score ?
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Have you filed for Bankruptcy in the past 7 yrs?
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Which of the following inaccuracies do you currently have on your credit report?
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No responses yet for this question.
Please provide a Brief Summary of what your Goals are with regard's to improving your credit scores. Ex: Credit plans (buying a car, applying for a mortgage, etc.)
No responses yet for this question.
Please go to Experian.com / Create a Free account which will show your Experian Scores only so we can get an assessment of your Credit Profile
Copy
No responses yet for this question.
Credit Report Log In Details
Copy
No responses yet for this question.
Please go to Creditkarma.com/ / Create a Free account which will show 2 of your Scores (Equifax & TransUnion) so we can get an assessment of your Credit Profile
Copy
No responses yet for this question.
Please provide an estimate of your Household Monthly Income
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How long have you been at your current address
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What is your years of Employment
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Have you File Taxes for 2021
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Have you had prior Credit Restoration
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By entering my contact information and clicking "Submit " I consent by electronic signature to be contacted by telephone or by email. 
No responses yet for this question.
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