The information provided on this form is encrypted and securely stored. It will only be used by TYE Solutions to review your credit profile and provide coaching services. We will never share this information with third parties.

Section 1: Client Information

Full Name

Date of birth

Social Security Number

Phone *

Email *

Address

Street Address

City

State

Country

Postal code

Previous Address (if changed within the last 2 years):

Section 2: Identity Verification Documents

(Please upload or attach clear copies of the following)

Driver’s License or Government-issued ID

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Social Security Card or W-2 with SSN visible

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Utility bill or bank statement (proof of current address, dated within the last 60 days)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Section 3: Credit Bureau Access Information

1.Experian

Experian Username

Experian Password

PIN (if applicable):

Has Account Been Set up?

Yes

2.Equifax

Equifax Username

Equifax Password

Security Word/PIN (if known):

Has your Equifax Account been setup?

Yes

3. Transunion

Transunion Username

Transunion Password

Security Question Answers (if available):

Has your Transunion Account been set up?

Yes

Section 4: Lock Preferences

Lock all 3 bureaus

Lock only Experian

Lock only Equifax

Lock only Transunion

Do you want us to set up or reset your credit bureau accounts?

Yes, please set them up or reset access.

No, I will provide full login details.

Section 5: Authorization & Signature

I authorize TYE Solutions to access my credit bureau accounts as necessary for the sole purpose of locking my credit with Experian, Equifax, and TransUnion. I understand that no inquiries will be made and no changes will be submitted without my approval.

I understand this information is being collected and handled securely. I release TYE Solutions from liability for any actions performed within the scope of this credit locking service.

Signature

Clear

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