Credit Clean Client Restart Form

	Credit Repair Since 1995

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Client Restart Form

Application Joint Applicant Things We Need Payment Method

IMPORTANT:
Do not give information such as phone numbers & email addresses that you do not want us to use freely! We want to keep your information while working with us "confidential". Please make sure to fill out all blanks and use N/A if it does not pertain to you. As a previous client with Credit Clean you do not have to pay the initial start up fee only the MONTHLY FEE is necessary if you have been a client in the last six months or less, otherwise a discounted initial fee will be charged.

HEADING	Your Name - Address - Phone Information Please use the address you get mail at this is important ... P.O. Boxes are considered an address too.
*First Name
*Middle Name
*Last Name
*Suffix	(Jr Sr I II III)
*Street Address
Has Address Changed
*Apartment #
*City
*State
Country
*Zip Code
*Home Phone
*Work Phone
*Cell Phone
*Fax Phone
HEADING	Personal Information Section Double Check Your Numbers Please
*Social Security	retype
*Age
*Date Of Birth	retype
Maiden Name If applicable
HEADING	Email Addresses Don't Give Us Email You Do Not Want Us To Send Email To
*Email One
*Email One Verify

Email Two
Email Two Verify
HEADING	Questions To Help Us Help You Please Be Honest This Information Helps Us
*Do You Know Your Credit Scores
If Yes, To The Above, What is it
Why did you stop credit repair previously
*About How Long Ago Did You Stop The Service
Will You Agree To The Following Duties	PLEASE RIGHT CLICK HERE and select all, then right click again and click copy, then open a text or word document and click paste to read this information. Client Duties: PLEASE READ 1. You must send any and all credit reports to Credit Clean when you get them. We provide envelopes to start you off. Credit reports will come to you about every 30 to 45 days. Each report omitting the first one will show changes we need to know these. 2. You must notify Credit Clean if you change address, email or phone numbers. Not a lot here that you have to do but if you don't do them then we can't help you.
Answer to Above Question
*Paying How?	Online payments made by credit card, debit card, check, pay pal
Are You A Joint or Single Account
Credit Clean Terms & Conditions	PLEASE RIGHT CLICK HERE and select all, then right click again and click copy, then open a text or word document and click paste to read this information. TERMS AND CONDITIONS - PLEASE READ Credit Clean's Client Agreement Full Service Credit Repair Forms One, Two and Three Form One Limited Power Of Attorney Form Two Client Service Agreement Form Three Client Notice of Rights FORM ONE - Client Agreement Full Service Credit Repair Program: Client Limited Power of Attorney (for the purpose of credit help only) This form is a limited power attorney and is used only to help you with the repair and restoration of your credit. This does not give us full power of attorney over your affairs it's only for use with credit concerns. Client will here after be referred to as "Person or People" who have sent this form and have agreed to the terms and conditions by checking the "I AGREE BUTTON". CLIENT(s) give and appoint Credit Clean a div. of WebHead Ventures, Inc, it's officers, employees and agents, located at 532 Bridle Path Way, Tarpon Springs, Florida 34688, phone (727) 939-0311 as my assistant for my behalf, as set forth in the following matters only. Signing of correspondence addressed to the credit bureaus, the signing of correspondence addressed to creditors, obtaining credit information over the telephone, fax, through written correspondence from credit bureaus, creditors or collection agencies. verification and research of all negative debts. If mediation of a debt is necessary I give Credit Clean a div. of WebHead Ventures, Inc, its officers, employees and agents the right to discuss information to help resolve a debt. The signature of the employee below has been approved as my agent. I further authorize Credit Clean a div. of WebHead Ventures, Inc, its agents, servants and employees bearing this release or copy thereof to obtain any information in my credit report that may involve medical records and/or credit records. I hereby direct said record holder to release such information upon the request of the bearer of the authorization to release information and durable Power of Attorney for limited purposes. I hereby release the bearer of this authorization as well as the recipient, including but not limited to, the Custodian of such records, Repository of the Court Records, Credit Bureau, (TRW, Trans Union, Equifax, Experian) consumer reporting agency, retail business establishment, lending institution, student loan agencies (public and/or private), including whatever kind, which may at any time result to me, my heirs, family or associates, because of compliance with this Authorization to release Information, or any attempt to comply with it. Should there be any questions as to the validity of this Release, you may contact me as indicated below. I have the right to revoke or terminate this Power at any time. All questions pertaining to validity, interpretation and administration of the Power shall be determined in accordance with the laws of Florida. This power is valid throughout the United States in all information set forth in the paragraph above by signatures below. Note to Consumer: You may cancel this Power of Attorney at any time by submitting a letter stating you no longer give power of attorney to our office. This power of attorney can only be used for credit issues and will not be used for anything other than stated above. This power of attorney is only valid when CLIENT(s) are working with Credit Clean. FORM 2- Client Agreement Full Service Credit Repair Program: Client Service Agreement This form explains what Credit Clean's obligations are to you as a client. What the cost of the service is and any information regarding the Full Service Credit Repair Program. Client hereinafter referred to as "client" and Credit Clean a Division of WebHead Ventures, Inc. Hereinafter referred to as "Credit Clean", located at 532 Bridle Path Way, Tarpon Springs, Fl 34688, phone (727) 939-0311, agree as follows: 1. Scope of Services: the purpose and scope to this agreement is that Client and Credit Clean have entered into a Client Service Agreement. Credit Clean will assist Client in obtaining current copies of credit reports and analyze these reports for the purpose of finding derogatory information affecting the credit scores. Credit Clean, as requested by client, will be acting as a Counselor and Client authorizes Credit Clean to fully assist in the process of removing obsolete, incorrect, misleading, inaccurate, unknown and unverifiable information from each credit report that is not in compliance with the Federal Fair Credit Reporting Act, Fair Debt Collection Practices Act and any other set guidelines for creditors, credit bureaus and collection agencies. Credit Clean services are to include, but not limited to, education of client in reading credit reports, counseling client and informing client of his/her rights under the Fair Credit Reporting Act and the Equal Credit Opportunity Act. Credit Clean acts as Clients personal assistant for the process of Credit Restoration and is paid by Client for such services that assist client with the restoration of his/her creditworthiness. Credit Clean cannot by law and does not guarantee any results from the work performed and as such charge on a monthly basis so client has the opportunity to cease using the services of Credit Clean at any time. Credit Clean will provide the best possible help and will use every means available to help the Client repair and restore good credit reports in and effort to establish creditworthiness and obtain a higher credit score. Client agrees to be responsible for all cost required to obtain consumers credit reports, restoration packet and set up fee at the beginning of service (this is what the initial fee covers when you start the service) the products are itemized below PLUS client will receive a full copy of Credit Power Credit Repair & Restoration Book for future use during or after service with Credit Clean If client has copies of credit reports and sends them in with these forms this takes about thirty days off the service and can save the client considerable time & money by doing so.. THE FIRST MONTH INITIAL FEE: SINGLE ACCOUNTS $188.00 all other months are $115. The First Month includes, Setting Up Your Account, sending a priority packet to client which includes our copyrighted CREDIT POWER booklet which is designed to answer many questions clients may have about credit the packet also includes, envelopes, coupons for payments and other important information, setting up your account with Credit Clean (counselor, bookkeeping and computer files), evaluation of all credit reports received with a copy sent to client, research of all negative accounts and information on positive accounts that could be reflecting negative information. All other months will be cleaning up and restoring your credit with each of the three credit bureaus. This process usually takes six months of hard work although improvements are most likely seen within 60 days. You pay nothing over what is listed here to Credit Clean unless extra services are needed. Credit Bureaus are now offering you the option to obtain credit scores; credit scores are not included with this service and are best obtained by the client since Credit Clean has to charge an hour of work trying to get these for the client. Cost for credit reports for one person will be based at $100 per set of three ... this can be obtained for a lot less money online and information will be given to you as to where you can obtain these scores. THE FIRST MONTH INITIAL FEE: JOINT ACCOUNTS $280 all other months are $215. The following is for both people enrolled in the joint account service. The First Month includes, Setting Up Your Account, Sending a priority packet to client which includes our copyrighted CREDIT POWER booklet which is designed to answer many questions clients may have about credit, the packet also includes, envelopes, coupons for payments and other important information, setting up your account with Credit Clean (counselor, bookkeeping and computer files), evaluation of all credit reports received with a copy sent to client, research of all negative accounts and information on positive accounts that could be reflecting negative information. All other months will be cleaning up and restoring your credit with each of the three credit bureaus. This process usually takes six months of hard work although improvements are most likely seen within 60 days. You pay nothing over what is listed here to Credit Clean unless extra services are needed. Credit Bureaus are now offering you the option to obtain credit scores; credit scores are not included with this service and are best obtained by the client since Credit Clean has to charge an hour of work trying to get these for the client. Cost for credit scores for one person will be $100 per set of three scores (Equifax Beacon, Trans Union Emperica and Experian FICO ... these can be obtained for a lot less money if you spend the time and get them online on your own. We will give you locations you can get these scores from if you want to do this yourself WE DO NOT CHARGE YOU FOR PHONE CALLS like other companies do. We would, however, appreciate it if you use email as much as possible to save valuable time your counselor needs doing the tedious and stressful work that needs to be done By emailing questions your counselor also has a log of questions, answers and concerns to refer back to when working on your credit files. Our monthly fees are the same each month: Single Accounts $115 Joint Accounts $215 these fees have been increased One Time ($10) since 1995. Client understands that the fees to obtain credit reports are regulated by the Credit Reporting Bureaus and Client is allowed by law to receive one credit report per bureau per year when denied credit by information obtained by said credit bureau. Client’s first installment is a product & service fee and is due when a client initially begins service by sending in these forms. All monthly payments are due on the first of each month and are considered late after the 10th. If a payment is made late then client will need to add a $10 late fee making the late month fee and monthly payment $125 for single accounts, $225 for joint accounts. After the initial payment and ten monthly payments client is not obligated to pay monthly payments for two months from that tenth payment. For example you pay the initial payment and your ten payments then the following two months are free months with no charges due. Total possible investment in our Full Repair for Single Client is $1338. Total possible investment for Full Repair for Joint Clients is $2430. Optional Credit Score fees are not included and are best obtained by client. Credit Clean will not be held responsible for any articles that become lost or delayed in the mail. Client must notify Credit Clean if Client changes residences and cannot use the address sent in to Credit Clean at the time client began service. Credit Clean will re-order any reports that are missing within a normal period of time. Please be patient with this service it takes time and results are well worth the wait. 2. Client authorizes Credit Clean, its employees and servants to prepare all necessary correspondence utilized in the processing of disputes and agree to submit to Credit Clean any additional information required to support legally the dispute process. Client understands that all disputes must be true and accurate and that Credit Clean will not produce any information that is not accurate to the best of Clients knowledge. Credit Clean will request from credit bureaus and/or creditors, collection agencies and attorneys, verification of all information being reported negatively by the credit reporting agencies and will use every legal means of removing negative data from Clients reports so that Client can restore a more positive credit history and increase credit scores in an effort to get better interest rates and loans. Credit Clean does not change or advise Client to change Clients Identification, social security number or any other personal data in an effort to gain credit under a different identity. This is illegal and you should not use companies who offer this type of service. 3. Client agrees to a monthly payment schedule for the Full Credit Repair & Restoration Service and that monthly payments are to be made each month unless client has chosen the flat rate payment. A statement will be sent stating the due date of each payment unless other arrangements have been made. This monthly schedule is set to help protect those with minor credit problems from paying unnecessary fees also allowing a client to stop the service at any time. Average time for completion of moderate credit problems is 6 months. Average time for completion of major problems is from 8 to 10 months. STATE LAW REQUIRES US TO GIVE A 5 DAY NOTICE OF CANCELLATION AND FEDERAL LAW A 3 DAY NOTICE OF CANCELLATION, Credit Clean does not have any restriction on cancellation, you can cancel our service at any time we have no long term binding agreement. This is a month to month service agreement. As of 7/20/03 you have the option to have us order credit scores for additional fee of $100 for all three scores per person. Please make sure to enclose an extra $100 per person if you want credit scores ordered with your reports this first month. Payment Information Initial Fee for Single Client Accounts is $188.00. Monthly Fees are $115.00 for no more than 10 months in any one year. Two months are free if you need the entire ten months of work. Initial Fee for Joint Client Accounts is $280.00 Monthly Fees are $215.00 for no more than 10 months in any one year. Two months are free if you need the entire ten months of work. Flat Fee Single Client Accounts saves $115.00. One full year of service for one flat fee of $1108.00 three months of free service is included. Flat Fee Joint Client Accounts saves $215.00. One full year of service for one flat fee of $2000.00 three months of free service is included. Credit Scores Ordered through Credit Clean is $100 per person and includes three credit reports and three credit scores. We advise ordering scores yourself because our cost is well above what you can get credit scores for on your own. You must request credit scores from us this is not something we do automatically. FORM 3 - Client Agreement Full Service Credit Repair Program: Client Notice of Rights (please read) We are legally bound to give you this notice as part of the Credit Repair Organization Act. Please make sure you read it as clicking "I Agree" means you have read this information. You have a right to dispute inaccurate information in your credit report by contacting the credit bureau directly. However, neither you nor any "credit repair" company or credit repair organization has the right to have accurate, current, and verifiable information removed from your credit report. The credit bureau must remove accurate, negative information from your report only if it is over 7 years old. Bankruptcy information can be reported to 10 years. You have a right to obtain a copy of your credit report from a credit bureau. You may be charged a reasonable fee. There is no fee, however, if you have been turned down for credit, employment, insurance, or a rental dwelling because of information in your credit report within the preceding 60 days. The credit bureau must provide someone to help you interpret the information in your credit file. You are entitled to receive a free copy of your credit report if you are unemployed and intend to apply for employment in the next 60 days, if you are a recipient of public welfare assistance, or if you have reason to believe that there is inaccurate information in your credit report due to fraud. You have a right to sue a credit repair organization that violates the Credit Repair Organization Act. This law prohibits deceptive practices by credit repair organizations. You have the right to cancel your contract with any credit repair organization for any reason within 3 business days from the date you signed it. Credit bureaus are required to follow reasonable procedures to ensure that the information they report is accurate. However, mistakes may occur. You may, on your own, notify a credit bureau in writing that you dispute the accuracy of information in your credit file. The credit bureau must then reinvestigate and modify or remove inaccurate or incomplete information. The credit bureau may not charge any fee for this service. Any pertinent information and copies of all documents you have concerning an error should be given to the credit bureau. If the credit bureau's reinvestigation does not resolve the dispute to your satisfaction, you may send a brief statement to the credit bureau, to be kept in your file, explaining why you think the record is inaccurate. The credit bureau must include a summary of your statement about disputed information with any report it issues about you. The Federal Trade Commission regulates credit bureaus and credit repair organizations. For more information contact: The Public Reference Branch Federal Trade Commission Washington, D.C. 20580 By clicking the "I AGREE BUTTON" You state you have read this information and agree to allow Credit Clean to help you with your credit problems. Important Information IF YOU ARE NOT SUBMITTING YOUR FORMS ON LINE YOU NEED TO MAIL THEM TO US: MAIL YOUR FORMS TO: Credit Clean - NEW CLIENT DEPT 532 Bridle Path Way Tarpon Springs, FL 34688-7210 YOU NEED TO INCLUDE THE FOLLOWING INFORMATION WHEN YOU SUBMIT YOUR FORM THE FOLLOWING STEPS MUST BE TAKEN ONCE YOU SUBMIT YOUR FORM TO CREDIT CLEAN: If you are submitting your form online you may fax (727) 939-8810 the required proof below. Please never fax credit reports we cannot read them and it delays our work. You may want to check and make sure you have all this together so you can send it to us as these items are required no matter what Credit Clean Service you are using: Proof of Address: You need (2) items below and they must show the address you want mail to be sent to. This must be the address you want your credit reports and other information to go to. You can use a P.O. Box or a Physical Address. Be careful using a business address, the address you send proof of is the address they will list on your credit reports as you home address. Proof can be any of the following as long as it has the address you want to use and you have two of six items you can use as proof. · Driver's License · Major Credit Statement · Voided Check · Lease Agreement · Utility Bill · State I.D. You must send two of the above proof of address and if you are a joint account you must send (two) of the above proof of address for each person. Proof of Social Security Number: You only need (1) of these. This can be proven with any of the following: · Social Security Card · Filed Tax Returns · Employer Pay Stub Driver's License or State I.D. .. You should send a copy of your Driver's License even if it does not have your current address. It will show proof of your previous address, date of birth and driver's license number. Some states use your Social Security Number as your Driver's License Number. JOINT ACCOUNTS both of you need to send proof for each of you using the same directions above. Please Print This Page Then Hit Return To Previous Page Below Credit Clean Services 532 Bridle Path Way Tarpon Springs, FL 34688-7210 Phone: 727-939-0311 Fax: 727-939-8810 (please do not fax credit reports)
Terms & Conditions	I Agree I Do Not Agree

Monthly Payment Amounts:

Clients restarting before six months of inactivity pay $115 Single Accounts $215 Joint Accounts

Clients restarting before one year inactivity pay $145 Single Accounts $255 Joint Accounts

Clients restarting after one year of inactivity pay $188 Single Accounts $280 Joint Accounts

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Page Last Updated
Sunday September 30, 2007

Credit Clean
532 Bridle Path Way
Tarpon Springs, FL 34688-7210
Phone: 727-939-0311 Mon - Fri 10 - 7 EST