Precise Credit Solutions Initial Contact Form

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Precise Credit Solutions, Inc.

PO Box 141043

Gainesville, FL 32614

352-608-0222

[email protected]

Application for Credit Restoration Services

Please complete all of the following information so that we can access your credit reports to begin the credit repair process, on your behalf. When accessing a consumer’s credit from either credit bureau (Equifax, Experian and Transunion) we must provide the required information listed below. This profile will assist Precise Credit Solutions, Inc. with accessing your reports from each bureau to inquire, investigate, and dispute any negative and inaccurate information affecting your credit.

First and Last Name:

Any name changes? If so, please provide your former name else enter N/A:

Date Of Birth:

Social Security Number:

Driver's License Number:

Height (as it appears on your ID):

Email Address:

Street Address:

City:

Zip Code:

Former Address 1:

Former Address 2:

Current Contact Number:

Previous Contact Number(s):

Current Employer:

Former Employer(s) (last 5 years):

Make/Year of current and past vehicles:

Tag Numbers:

If you have a Credit Karma and Experian account, please provide your login & password information.:

Have you ever served in the military?

Do you have student loans?

If for any reason, the credit bureau(s) request additional information that may not be listed above, may Precise Credit Solutions, Inc. contact you to obtain this information?

YESNO

The information that you have provided above to Precise Credit Solutions, Inc., Inc. allows the company to assist you in obtaining your credit report. By signing this form, you agree that all of the above information is correct, and you also authorize Precise Credit Solutions, Inc., to access your credit reports and scores at any given time. This will assist us with analyzing your reports and providing you with information regarding your credit file and how we may be able to assist you.

SignatureI agree to the terms and conditions

(Sign Here)

Clear Signature

Date

Precise Credit Solutions, Inc.

PO Box 141043

Gainesville, FL 32614

352-608-0222

[email protected]

Authorization to Release Information

(Client’s Full Name), have appointed Precise, Credit Solutions Inc. (“The Company”), to assist me with

Credit Restoration Services. I authorize Precise Credit Solutions, Inc. to communicate with Creditors, Collection Agencies, Credit Bureaus, Agencies and other Representatives on my behalf, and provide any additional services (as needed).

I would like to grant authorization to Precise Credit Solutions, Inc., its agents, affiliates, representatives and assignees for the purpose of carrying out its obligations pursuant to the Client Agreement between Precise Credit Solutions, Inc. and myself. I understand and agree that this authorization does not represent an engagement of Precise Credit Solutions, Inc. for legal services, nor does it expand the scope of Precise Credit Solutions, Inc. obligations under our Agreement. I understand and agree that, while Precise Credit Solutions, Inc. may employ attorneys to represent Precise Credit Solutions, Inc. in negotiating and settling the specific obligations that Precise Credit Solutions, Inc. has undertaken pursuant to my Agreement with Precise Credit Solutions, Inc. Precise Credit Solutions, Inc. is not authorized to provide, nor will I request or accept, any legal advice relating to my credit/financial situation. I understand that Precise Credit Solutions, Inc. is not a law firm and is not licensed to practice law or provide legal advice. I expressly agree to waive, forgo, and fully indemnify Precise Credit Solutions, Inc., its agents, affiliates, representatives and assignees from and against any claim relating to the practice of law. No legal advice will be requested nor provided.

This authorization is created solely to permit Precise Credit Solutions, Inc. to communicate with my creditors, or any agencies that may attempt to collect a debt and/or report or furnish information regarding my credit. I also grant Precise Credit Solutions, Inc., its agents, affiliates, and representatives to contact the credit bureaus to discuss, dispute, request changes, deletions, and updates to any information regarding my credit files.

All communications conducted by Precise Credit Solutions, Inc. are done with my permission and instruction. Please direct all communications concerning my inaccurate information, deletions, changes, disputes, results, debt(s) and obligation(s) to Precise Credit Solutions, Inc. at the address listed below.

In accordance therewith, I instruct and authorize Precise Credit Solutions, Inc. to do the following:

1. To communicate with and negotiate settle debts as fully, completely and to the same extent I am or would be able to do so on my own behalf, with all banks, creditors, financial institutions, licensed collection agencies, and/or any and all other related entities and individuals (Creditors), relating to my debts and the specific obligations that Precise Credit Solutions, Inc. has undertaken pursuant to my Agreement with Precise Credit Solutions, Inc.

2. To obtain all records, debt validations and support for the debts allegedly owed on my behalf and to obtain my credit report(s) to verify all debts and amounts owed.

I assert that all of the information that I/we have provided and will provide to Precise Credit Solutions, Inc. is accurate, timely and correct. Precise Credit Solutions, Inc. has full authority to discuss any, and all details of my credit and/or financial situation with any third party or affiliate working on Precise Credit Solutions, Inc.’s behalf, as well as with all Creditors.

By signing this agreement, you agree to all the above terms and understand that any Creditor or collection activity, demands, or lawsuits are unrelated to my enrollment in Precise Credit Solutions, Inc. program, and will not hold Precise Credit Solutions, Inc. liable. Second, I understand that my enrollment in Precise Credit Solutions, Inc. program will not serve to delay, defend or reduce those lawsuits. Last, I understand that the Precise Credit Solutions, Inc. program is a credit counseling and restoration program (as described in the Agreement), independent of and not related to any Creditor actions.

Client's Full Name

Client’s Social Security Number:

SignatureI agree to the terms and conditions

(Sign Here)

Clear Signature

Date

Precise Credit Solutions, Inc.

PO Box 141043

Gainesville, FL 32614

352-608-0222

[email protected]

Electronic Signature Agreement

By signing this agreement electronically, you agree that your electronic signature is the legal equivalent of your manual signature on this Agreement. By choosing to sign this agreement electronically, you consent to be legally bound by this Agreement's terms and conditions.

You further agree that your use of any device to make selections, initial, similar act/action, or to otherwise provide Precise Credit Solutions, Inc. access to or make any transactions or any decisions regarding any agreement, acknowledgement, consent terms, disclosures or conditions constituting your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing.

You also agree that no certification authority or other third-party verification is necessary to validate your E-Signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Precise Credit Solutions, Inc.

You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this

Agreement. By signing this agreement, you agree to all the above terms and you further agree that each use of your E-Signature in utilizing Precise Credit Solutions, Inc’s services constitutes your agreement to be bound by the terms and conditions of the Precise Credit Solutions, Inc’s Agreements, Disclosures, Amendments, and any additional documentation (i.e. Application, Authorization Release, etc.), as they exist on the date of your E-Signature.

Client’s Full Name:

Client’s Social Security Number:

SignatureI agree to the terms and conditions

(Sign Here)

Clear Signature

Date

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