EmailMe Form - QuickBills, LLC

Contact Information

Name *

First Last

Email *

Phone Number *

### - ### - ####

Are you a U.S. Citizen? *

Yes

No

What state do you live in? *

What is your date of birth? *

What amount of funding are you requesting? *

Purpose of loan? *

When do you need the money? *

What are your credit scores? *

700+

670 - 699

650 - 669

Under 650

Do you have less than 6 hard inquiries in the last 6 months? *

Yes

No

Do you have new personal credit opened in the last 6 months? *

Yes

No

Have you ever filed for Bankruptcy?

Yes

No

If you have filed for Bankruptcy has it been discharged for 2 years or more?

Yes

No

Do you have any negative items reporting on your credit report in the last 2 years? (Judgement, Child Support, Late Payments, Collections, Bankruptcy, Evictions, Medical Bill, Foreclosure, Charge-offs, Pre-Foreclosure) *

Yes

No

Are your credit card balances under 60%? *

Yes

No

Do you currently have any fraud alerts on your credit report? *

Yes

No

Are you employed or self-employed ? *

Are you earning a minimum of $32,000 per year? *

Yes

No

Are you currently on any paid leave of absence with your employer? *

Yes

No

If you believe that you do not meet one or more of our credit criteria we can still help.

Our exclusive mentorship program, "I Will Master Plan", allows our lenders to tell you exactly what you'll need to correct on your credit in order to receive max funding. There is an upfront investment for $1000 for those who do not meet our credit criteria but need our help. Are you open to learning more about this program? * *

Yes

Out of my budget.

I can make a partial payment of $667 then $333 later.

I meet all the criteria and I am ready to be approved!

How did you hear about us? *

Referral Name

First Last

When is the best time to call you? *

Morning

Afternoon

Evening