WP E-Signature by Approve Me - Sign Documents Using WordPress -

Authorization To Dispute

Authorization Date: December 26, 2024

I, (Consumer), acknowledge and authorized the following credit service organization to dispute inaccurate or non-compliant information on my credit file:

Church Credit Repair
1801 NE 123rd Street #314
North Miami, FL 33181
(786) 981-9672

I have been provided with and signed an Information Statement by Church Credit Repair detailing my consumer credit file rights, including my right to dispute inaccurate information with each bureau and/or data furnisher. My provider has also disclosed my right to obtain a copy of my credit report from a credit bureau.

I am aware that I may dispute inaccurate information on my credit file without paying a credit service organization, but willfully choose to hire one to dispute on my behalf. I have signed a service agreement where I agreed to a zero-advanced payment to the provider, Church Credit Repair , until work described in the agreement is completed.

I am also aware that my provider has registered and/or obtained all necessary documents, registrations, bonds, if required, and met all requirements to offer credit counseling services.

My address:

My SSN: ###-##-

I hereby authorize Church Credit Repair to obtain credit report(s) from any consumer/credit reporting agency for disputing purposes on my behalf. This authorization is valid for 2 years from the signed date, or upon the termination of my service agreement with Church Credit Repair , whichever is sooner.

I hereby authorize this investigation.

CUSTOMER

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

May 9, 2024 5:05 pm GMT

Authorization To Dispute Uploaded by Glenn Haave - help@churchcreditrepair.com IP 122.53.255.219

May 9, 2024 5:12 pm GMT

Disclosure Notification - disclosure@creditmanager.io added by Glenn Haave - help@churchcreditrepair.com as a CC'd Recipient Ip: 122.53.255.219

May 9, 2024 5:12 pm GMT

CM Team Consultants - cmteamconsultants@creditmanager.io added by Glenn Haave - help@churchcreditrepair.com as a CC'd Recipient Ip: 122.53.255.219