EmailMe Form - Syntrese Samuels | Elevation One Group

Contact Information

Name *

First Last

Email *

Phone Number *

### - ### - ####

Are you a U.S. Citizen? *

Yes

No

What state do you live in?

Date of Birth

MM / DD / YYYY

What amount of funding are you requesting? We fund $10,000 - $500,000 *

Why are you requesting funding? *

When do you need the money? *

What are your current credit scores? *

700 and above

670-699

669-650

Under 650

Do you have new personal credit opened in the last 6 months? *

Yes

No

Do you have any hard credit inquiries in the last 6 months? *

Yes

No

Do you have a minimum of 3 established trade lines that are at least 6 months old? *

Yes

No

Have you ever filed Bankruptcy?

Yes

No

If you have filed for Bankruptcy has it been discharged for 2 years or more?

Yes

No

Do you have any negative items reporting on your credit report in the last 2 years?
(Judgement, Child Support, Late Payments, Collections, Bankruptcy, Evictions, Medical Bill, Foreclosure, Charge-offs, Pre-Foreclosure) *

Yes

No

Is the usage of your total credit cards under 60%? *

Yes

No

Are you employed or self-employed ? *

Are you earning a minimum of $50,000 per year? *

Yes

No

If employed, are you currently on any paid leave of absence or laid off with your employer?

Yes

No

If you believe that you do not meet one or more of our credit criteria we can still help.

Our exclusive Fast Track For Funding program, allows our lenders to create a "Master Plan" to get you approved with less than perfect credit. There is an investment for $1500 for to join that will result in you getting funded with no guesswork. Are you open to learning more about this program? *

Yes. I'm ready to make a change in my life.

No. Out of my budget.

I meet all the criteria and I am ready to be approved!

If Retired or receiving Social Security…

Do you have an awards letter?

Yes

No

How did you hear about us?

How did you hear about us? *

Instagram

Facebook

Referral

Other

Referral Name

First Last