Repair

Onboarding Info

First Name *

Last Name *

Phone *

Email *

Date Of Birth *

Social Security Number *

Address

Street Address

City

State

Country

Postal Code

Have You Been At This Address For At Least 2 Years? *

Yes

If You Answered The Last Question No, List Your Previous Address Below.

Driver License / ID *

Social Security Card - results may vary without it.

Proof Of Address/Utility Bill *

UPLOAD YOUR CREDIT REPORTS

(From Experian.com, CreditKarma.com & Equifax.com)

Guides for downloading your Credit Reports:

MAKE SURE ON WEB BROWSER NOT THE MOBILE APP

MAKE SURE YOU HIT EVERY ARROW DOWN SO WE CAN SEE FULL REPORT FOR EVERY ACCOUNT

https://www.youtube.com/watch?v=G2pokHF0DrI

https://www.youtube.com/watch?v=cC78lGfM490

Upload Experian Credit Report Here *

Upload Equifax Credit Report Here *

Upload Transunion Credit Report Here *

Referred By?

Please Leave Any Additional Information Or Accounts That You Don't Want Removed.

By submitting my contact information I certify that I’m 18 years of age or older and that the information provided is my own. I authorize Prime Capital to contact me in forms including emails, phone calls, text messages, and voice messages. I also give written authorization to Prime Capital and/or it’s affiliates to obtain a copy of my consumer report to personalize my experience, and I understand this is optional and not required to make a purchase.

I confirm that all information I provided is true and correct, and I authorize Prime Capital to dispute the items I requested on my behalf.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.