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Is your bankruptcy discharged? If so, provide discharged
date below:
Discharged Date: ___________________________
If bankruptcy is new or recent, provide date filed below:
New Bankruptcy Filing Date: __________________
_____Check here if you would like to sign up your spouse.
We will pay you $100.00 for referring a spouse with this
application. Total amount due for you is your price. Your
rate for your spouse may be the same or different. (Please
contact us for a quote if referring your spouse.)
Send an email to:
referring@artistic-capitalcorp.com
_____Check here if you would like to sign up a friend or a
referral. We will pay you $50.00 for referring a friend
or family member (other than spouse). Total amount due for
your referral may be the same or different. Please contact us
at the email address above for a quote if referring someone or
download our Referrals
Form from our corporate website by visiting the following URL:
http://www.artistic-capitalcorp.com/REFERRALS-FORM.htm
We also have available Credit Enhancement Services for
consumers and businesses. For more information, [visit the
following URL link online] or send your email address to us
for an online version of this service to:
Enhancements@artistic-capitalcorp.com
Visit our Credit Enhancements Website at:
http://www.artistic-capitalcorp.com/ENHANCEMENTS.htm
_____Check this box and rate your personal credit and Fico
Score right now:
_____Destroyed _____Bruised ____Damaged ____Good-Fair
____Excellent-Perfect
_____300-500 ____550-620 ____650-680 ____685-700
____750-800 ___850-950
Indicate below the Fico Score you would like to have once
our
work is completed:
__________________
What type of problems do you have presently on your credit
report that you would like for our agency to investigate,
dispute, resolve, remove or delete, cleanup or update for
you? (Please be specific and as detailed as possible.)
Attach additional sheets to explain further if necessary.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
PAYMENT METHOD
(The payment selected below
will not be charged for initial service fees. We will only
charge you today for your personal credit report only!)
How would you
like to pay your credit report fee? _____ Credit Card
_____ Debit _____ Online Payment _____ Online
Billing/Invoice _____ Directmail Payment _____ Cashier’s
Check _____ Money Order ______ Bank Wire Transfer *
* There is a bank wire
transfer fee of $175.00 for all requests. If you would like
our bank wiring instructions, send an email to:
bank-wires@artistic-capitalcorp.com
_____Other:
_________________________________________________________
* Online Payments, please send by PayPal to the following
email address:
artisticapital.corporateoffices@verizon.net
To pay $85.00 Credit Report Fee
Online right now >>
ü(Required
to confirm identity.)
Send your requests to us at:
billing@artistic-capitalcorp.com
or add the amount to your total amount due at the end of this
application.
To pay $300.00 Credit Review Analysis
Fee Online right now >>
ü(Required
to determine exact quote.)
Send your requests to us at:
billing@artistic-capitalcorp.com
or add the amount to your total amount due at the end of this
application.
Rates, Fees and Charges -
Our agency will allow initial
payments as noted below to activate an account for you and to
immediately begin services for you. If you do not want to use
the monthly payment service per payment summary outlined
below, we would require a minimum
of $450.00 per deletion
and all enrollment fees noted below to open your account with
us.
INITIAL PAYMENTS
$1,000.00 Account Setup Fee
$ 300.00 Credit Report Analysis Fee
$ 80.00 Enrollment Fee
$ 85.00 Credit Report Fee
$ 35.00 Monthly Maintenance Fee
$1,500.00 Due To Start Services +
$ 300.00 Credit Review Analysis Fee
(Required)
$ 450.00 per deletion, per file,
(Optional)
per derogatory information disputed
$ 5.00 One-time monthly billing setup Fee
When would you like to make your first payment?
_____Now/Today, payment is enclosed. _____In the next
5 days by directmail. _____In the next 10 days by directmail
or email. _____Email me a bill for total. _____Invoice me by
directmail and I will pay immediately.
_____Invoice me by email, and I will pay immediately.
My email address is:
___________________________________________________
I will be paying by one of the methods indicated below:
_____Personal Check _____Fax Check Payment _____Fax Credit
Card Payment _____Business Check _____Online Payment
______Cashier’s Check _____Money Order _____Credit Card By
Mail _____Bank Wire Transfer + Fee
_____Immediately when analysis is completed and I know
my total amount due. I'm ready to go right now and start
getting my derogatory credit removed.
Bill me monthly. I will pay my first installment of
$ _____________ by
_______________ (Date) and my balance of $___________ by
______________ (Date). My total amount due will be paid in
full on and/or before _______________ (Date). (Minimum
payment is $500.00)
My balance of $1,500.00 will be paid on and/or before:
____________________
MONTHLY BILLING NOTICE:
I understand if electing monthly billing that my requested
services will not start until the total service fee of
$1,500.00 has been paid-in-full. Credit Review Analysis Fee
is required plus my first month's payment of $35.00 (to
include legal fees of $75.00), plus my personal credit report
fee of $85.00 (unless I have provided my personal credit
report). Total minimum due now is $495.00. My balance
will be determined at the time my Credit Review Analysis has
been completed. I understand that a monthly service fee of
$5.00 is required at time of new account setup due to my
requests for monthly billing. (Monthly billing fee is a
one-time fee due at time of application only.)
CERTIFICATION: I understand that a minimum of
$300.00 is required for my personal credit report to be
reviewed and analyzed for services. After my analysis has
been completed, I understand the initial service fee of
$1,500.00 must be paid immediately in order for my account to
be setup and activated and agency to begin processing my
request. Analysis Fee, Service Fees, Monthly Billing and
Initial Account Service/Setup Fees are non-refundable at time
of request. I understand that any fees or service charges
paid to agency will be refunded for me should I not receive
the removal of the derogatory or disputable information listed
on my personal credit report as advised during my Credit
Analysis and Review. I understand that I must download the
below Agency Credit Agreement and return it immediately with
this application for service, along with my Credit Analysis
Fee before additional services are rendered to me. I
understand that I may copy this information and return by
email to agency by clicking the apply now button below or fax
it directly directly to that agency at: 1-866-RTISTIC!
(1-866-784-7842) 24 hours per day, 7 days per week for
immediate processing. My Quote for services, Analysis of my
Credit and all other information will be provided to me within
24-48 hours from my request being received and processed.
I will be notified by email, phone, fax, or directmail of all
deletions made to my personal credit report and I authorize
Artistic! Capital Corporation to act as temporary Power Of
Attorney on my behalf in contacting any credit reporting
agencies, creditors, and/or any other affiliated services who
has expressed interest in assisting with my request once my
account has been activated. I understand that a portion of my
total amount due will be billed to my credit card, totaling
$110.00 by the legal service department working on behalf of
Artistic! Capital Corporation, its affiliates, assessors,
assigns, and/or representatives.
I authorize Artistic! Capital Corporation to use the credit
card number and expiration date below to charge $110.00 of my
total amount due agency to the credit card I have provided
below:
(Circle the credit card you are
authorizing.)
   
Credit Card No.:
_____________________________________________________
(Visa, Mastercard, AMEX, Discover)
Exp. Date: ____________________ CVV/AVS #:
________________
(Month/Year)
3-DIGITS
ON BACK OF CARD
4-DIGITS ON AMEX
(REQUIRED) ON FRONT OF CARD ___________________________
DISCOVER CARD CUSTOMERS, PROVIDE MOTHER'S MAIDEN
NAME HERE:
___________________________________________________________________________
Name on
Card: ________________________________________
Billing Address: _______________________________________
City, ST, Zip: ________________________________________
Billing Phone #: _______________________________________
(with area code)
Your PRINTED NAME: _________________________________
(PRINT YOUR NAME IN ALL
CAPITAL LETTERS TO ACCEPT MONTHLY BILLING.)
Provide original
signature and date below.
X
_____________________________________ (Required)
Date: ___________________
* I understand that my
standard monthly payment due each month will be $35.00 which
will be billed to the credit card number provided above. I
understand that should my monthly payment for services each
month not be made available that my account will be
cancelled, forfeited, and/or then terminated - and
no additional refund requests
will be considered to me should I not make my scheduled
monthly payments as required. I understand that upon my credit
file being cleaned up and I have accepted the status of my
existing credit report that all monthly and recurring billing
services will be cancelled immediately and that my credit card
account listed above will not be further charged.
Referred By:
____________________________________________________
(Provide
name or source.)
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