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Prime Time- Client Questionnaire
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Name
* Required
Email
* Required
Do you have a 675 or higher credit score with each credit bureau?
* Required
Yes
No
Phone
* Required
Have you opened any new lines of PERSONAL credit within the last 6 months? (credit cards, credit card increase, new personal loan, HELOC, refinance, mortgage, car note ect...)
* Required
Yes
No
Are there in delinquent accounts reporting on your credit report? (lates, collection, charge offs, tax liens, repossessions, evictions ect...)
* Required
Yes
No
How many inquiries do you have within the last 6 months?
* Required
0
1-3
more than 4
Is your total average personal credit card usage above or below 60%?
* Required
Above
Below
Do you have established credit? We ask that you have a minimum of 3 open and active primary tradelines that are at least 6 months old
* Required
Yes
No
What is your main source of income?
* Required
W2
Self Employed
Disability
Retirement
Is your annual income above 32k?
* Required
Yes
No
If you're W2 employed, have you been on your current job for at least 6 months with 1 year of consistent income with no long gaps in employment?
* Required
Yes
No
N/A
If you're self-employed have you filed taxes for the last 2 years?
* Required
Yes
No
Are you a US citizen or permanent resident?
* Required
Yes
No
Authorized to work in the US
Do you reside in either Iowa or California?
* Required
Yes
No
How much funding are you seeking?
* Required
$10,000-$50,000
$60,000-$100,000
Max up to $500k
What’s the Name of the person who referred you? (Put N/A if no one)
* Required
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