CREDIT SWEEPERS & ASSOCIATES LLC

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1 First Name: Middle Name: Last Name: Mother's Maiden: Date of Birth: Place of Birth: Social Security #: Driver's License #: Home Phone #: Mobile Phone #: Current Address: Apartment #: Town or City: Zip Code: State: P.O. Box requires street address: Have you lived at the above address for at least 2 years? Circle one No Yes List all previous Addresses where you've lived in the past 10 years starting with the most recent. City: State: Zip Code: Apartment #: Employer's Address: Work Telephone #: Yes No May we contact you at this number? Circle one Mortgage Company: Monthly Car Payment: Monthly Mortgage Payments: Finance Company: I, certify that all above information is accurate. It is to my understanding that this form also serves as an authorization form thereby giving Credit Sweepers & Associates LLC permission to act on my behalf to (1) access any information pertaining to my credit accounts and, (2) permission to investigate any information concerning my credit report(s) and account(s). Signature: Date: Username Membership ID: Password

2 CREDIT SWEEPERS LLC. PLEASE READ VERY IMPORTANT!! It is very critical during the process of restoring your credit, that you remember you have granted CREDIT SWEEPERS with special powers of attorney. With that being said it is imperative that your CREDIT SWEEPERS agent be notified of the following prior of the event: 1. Any new inquiries that deal with your personal information, including promotional, legal, financial, as well as employment. This should be clearly understood, because these actions can disrupt your restoration process and dramatically cause a unconscious drop in your SCORE, and is cause for termination of the assigned contract and can result in your process having to be renewed in its entirety. 2. Any change of information including address, employment, name, financial, as well as changes of passwords to your account. Changes of the aforementioned makes it virtually impossible to monitor your account, and again may result in you having to renew your process all over again. 3. Any late payments or new accounts. These action are another example of automatic disruptions of the restoration process and can also affect your SCORE. 4. Any correspondence (including mail, phone calls, etc.) to any of the three credit bureaus or the creditors/collection agencies. It s simple, CREDIT SWEEPERS wants to improve your score, we are your agents and we work for you.in order to see your score GO UP, you must inform us of the aforementioned. Client signature Date THANK YOU,

3 Credit Sweepers & Associates LLC Special Power of Attorney I, residing at do hereby grant Credit Sweepers & Associates authorization, and all persons employed by or designees for Credit Sweepers & Associates for the express purpose of preparing and signing all documents with the intent to challenge disputed accounts contained in the files and that are being reported on my credit report Trans Union, Equifax and Experian. Credit Sweepers & Associates or employees or designees shall be believable NOT to act in any misconduct or fail to act in good faith while under the authority of. A successor Agent shall not be liable for acts of a prior Agent. Client Signature Date Client s name Printed Date

4 Privacy Disclosure Credit Sweepers & Associates hereby express that all information you provide to us is confidential and cannot be released to anyone without written consent. The consent to release your personal information must be in writing and be an original. Copies will not be sufficient. We cannot and will not release your personal information to friend or relative, including your spouse. We cannot disclose that you have made contact with us without written consent. Client Signature Date Credit Restoration Payment Options Option 1 Standard Credit Restoration Fees $ Option 2 Bankruptcy Cases $ No fees are due until all credit restoration services have been fully and completely performed under this contract. You will be billed once all services have been performed.

5 NOTICE OF CANCELLATION You may cancel this contract, without any penalty or obligation, at any time prior to midnight of the third business day after the date the contract is signed. If you cancel, any payment made by you under this contract will be returned within 10 days following receipt by the seller of your cancellation notice. To cancel this contract, mail or deliver a signed and dated copy of this cancellation notice, or any other written notice, to Credit Sweepers, LLC Old Court Road, Suite 9B, Pikesville, MD