1. Do you currently own a home?
*If yes, are you behind in payments?
*If yes: Would you like to have a Acuity Group Agent call you to discuss your options such as Short Sale to avoid a possible foreclosure?
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2. Do you have plans to purchase a home in the future?
Details:
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3. Have you been denied credit within the past year?
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4. Have you missed installment payments in the last 12 months?
Details:
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5. Have you experienced a Foreclosure?
If yes, when:(Mo/Day/Year)
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6. Have you closed a Short Sale?
If yes, when:(Mo/Day/Year)
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7. Have you ever filed Bankruptcy?
If yes, when:(Mo/Day/Year)
Discharge Date:(Mo/Day/Year)
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8. Are collection agencies calling you?
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9. Do you have a judgment/s or a tax lien?
If yes, details:
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10. Are your insurance rates too high due to bad credit?
If yes, details:
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11. Have you been denied employment or housing because of your credit?
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If you answered yes to any of the above questions you could benefit from a credit counseling program.
Upon receiving your questionnaire, an Acuity Group representative will be in contact with you.
With your permission, we will refer you to a local credit counselor for a free, no obligation credit analysis.
Time does not heal all wounds; let us help you get back to A+ credit today!
By returning this questionnaire and my contact information to Acuity Group,
I am giving permission to Acuity Group to forward my contact information to a credit repair specialist.
Contact Information:
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| First Name: |
| Last Name: |
| E-mail Address: |
| Phone: |
Preferred method of contact:
Email (be sure to enter above)
Phone Call
Best time to reach you:
a.m.
p.m.
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Additional Comments:
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