RSJ Investment Questionnaire
RSJ Consulting Group LLC
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First Name *
Last Name *
Email Address *
Phone Number
What is the amount of funding you are looking for ? *
What is the Reason you are requesting funding? *
How soon were you needing the funds? *
Will you be using these funds to participate in our CAR, or REAL program?
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What is your date of birth?
Are you over the age of 68?
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Is your FICO score 650+ on all 3  Credit Bureaus? *
What is your adjusted gross income for the year?  (This can be found on line 11 of your tax return) *
Are you a US citizen? *
Do you have less then 6 inquiries in the last 6 months? *
Do you have any late payments in the last 12 months? *
Do you have any new credit accounts opened in the last 6 months? *
Do you have at least 60% of credit available? *
Have you ever filed for bankruptcy? *
If you have filed Bankruptcy, has it been discharged for 2 years? *
What is the best time to reach you by phone? *
How did you here about our program ?     *
If you were referred who were you referred by? *
If not approved for funding would you be interested in learning more about credit repair solutions? *
IS there any financial concern that you have today? *
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