EmailMe Form - CREDIT REPAIR CHECKLIST

Name

First Last

Email

Phone

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

Date Time

MM / DD / YYYY

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Is your name correct? *

Yes

No

Is your Social Security number correct? *

Yes

No

Is your current address correct? Is your current phone number correct? *

Yes

No

Are the previous addresses they have listed for you correct? *

Yes

No

Is your marital status listed correctly? *

Yes

No

Is the employment history they have listed for you accurate? *

Yes

No

Is everything listed in the personal information section correct? *

Yes

No

Is there anything listed in the public record information? Is it correct? *

Yes

No

Highlight the information you think may not be correct

Are the accounts on the list still open? *

Yes

No

Are all of the current balances correct? *

Yes

No

Are accounts where you are an authorized user or joint owner listed? *

Yes

No

Are zero balances recorded for debts discharged in bankruptcy? For debts paid in full? *

Yes

No

Are you listed as a co-signer on a loan? Is this correct? *

Yes

No

Are accounts that you closed listed as “closed by the consumer”? *

Yes

No

Is negative information reported on each credit account correct? *

Yes

No

Highlight the information you think may not be correct

Are any accounts listed more than once? *

Yes

No

Is old negative information still being reported? *

Yes

No

If yes, highlight the information that has exceeded the negative information
reporting limit, which is usually seven years

Do you suspect that you have been the victim of identity theft after
reviewing your credit reports? *

Yes

No

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