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PERSONAL INFORMATION

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BUSINESS INFORMATION

WHAT STAGE BUSINESS ARE YOU?
ENTITY TYPE :

Does Your Business Have a Merchant Account?     
Will you accept Credit Cards?     

EMPLOYMENT INFORMATION

Do you have a 401K or IRA?     
Do you have Stocks or Bonds over $100K?     

Security INFORMATION

Do you speak English?
Have you done any Credit Repair?
Did you increase your credit card debt in last 30 days?
Any Family Member ever been in the Military?

People Living at Address

Vehicles Under Your Name

Other Business or LLC you have

Are you a personal guarantor for any of these Businesses?

College Degree or Professional licenses
you currently hold

Credit Cards Not Shown on Credit

Banks with NEGATIVE relationship

Have you had a BK?
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