Credit Repair Intake Form

First Name *

Last Name *

Email *

Address

Street Address *

City *

State *

Country *

USA

Postal code *

Phone *

Birth Date *

Social Security Number *

1. Services Provided

Fresh Start Consulting LLC offers the following credit repair and building services:

1. Removal of hard inquiries.

2. Removal of collections.

3. Removal of derogatory marks.

4. Removal of late payments.

5. Removal of invalid information.

We will prepare and submit disputes to credit bureaus, creditors, and/or collection agencies on the Client’s behalf to address inaccurate, outdated, or unverifiable information on the Client’s credit report.

2. Client Responsibilities

To enable the Company to provide effective services, the Client agrees to:

1. Provide all requested personal and financial information promptly.

2. Grant access to their credit reports and credit monitoring accounts.

3. Respond promptly to any requests for documentation or additional information.

4. Notify the Company of any changes in contact information.

3. Payment Terms

1. Setup Fee: The Client agrees to pay a one-time setup fee as agreed upon with the Company before services commence.

2. Monthly Subscription: The Client agrees to a monthly subscription fee of $59.99. This subscription fee will be automatically charged each month until the Client cancels the service in accordance with the Cancellation Policy.

4. Duration of Services

Credit repair services will commence upon receipt of all necessary documents and payment of the setup fee. While some results may be seen within 30-90 days, the timeline for achieving desired outcomes may vary depending on the nature of the credit issues.

5. Right to Cancel

The Client has the right to cancel this Agreement within one (1) business day of signing without incurring any penalties. To cancel, the Client must provide written notice to the Company at info@freshstartconsult.com. Payments made prior to cancellation will be refunded within fifteen (15) days.

6. Opt-In for SMS Communication

By signing this Agreement, the Client consents to receive SMS communications from Fresh Start Consulting LLC at 484-245-2580, including updates, notifications, and reminders about their credit repair services.

• To opt-out, the Client may reply “STOP” to any message from this number.

• Opting out of SMS communications does not cancel the Agreement or services provided.

7. Refund Policy

Credit repair results cannot be guaranteed, and no specific outcomes are promised. However, if no results are seen after one hundred and twenty (120) days of services, the Client may request a partial refund of the monthly subscription fees paid during that time. Setup fees are non-refundable.

8. Termination of Agreement

This Agreement will remain in effect until:

1. The Client chooses to terminate services by providing written notice to the Company.

2. The Company terminates the Agreement for non-payment or non-compliance.

Upon termination, the Client will remain responsible for any outstanding fees owed.

9. Recurring Payments and Cancellation

Payments for the purchase of credit repair services will be automatically enrolled into recurring payments thirty (30) days from the date of purchase unless the client cancels the enrollment. To cancel recurring payments, the client must submit a written request via email to info@freshstartconsult.com, with the subject line "Subscription Cancellation." Cancellation requests cannot be processed via phone. The client must submit the cancellation request at least ten (15) business days prior to the next scheduled payment. Upon verification of the request, Fresh Start Consulting LLC will cancel the recurring payments. If the client cancels the recurring payments prior to completing ninety (90) days of the subscription, following the initial thirty (30) days, a transaction fee of two hundred dollars ($200) will be applied to the cancellation.

10. Acceptance of Terms

By signing this Agreement, the client acknowledges that they have read, understood, and agree to the terms outlined above.

Signature *

Clear

Please Upload a Clear Copy Of Your Drivers License *

Full Page of Utility Bill *

Must have an identityIQ Account or a myscoreIQ Account for the duration of repair process!!!

Identity IQ or Myscoreiq Username *

Identity IQ or Myscoreiq Password *

Experian Username *

Experian Passoword *

Credit Karma Username *

Credit Karma Password *

Type of Service Requested:

Credit Repair

Credit Sweep

Credit Repair D.I.Y. Education

Request Details:

Clients Needs And Goals

What are your main reasons for seeking to repair or build your Credit? *

What are your top three goals you hope to achieve while repairing your Credit? *

Have you tried to repair or build your credit before? What were the results? *

How did you hear about us? *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (484) 245-2580 for assistance. You can reply STOP to unsubscribe at any time.