Credit Repair Client Intake

Complete this form so Virtus Management Group can review your credit profile, goals, and service needs.

Personal Information

Full Legal Name * Email Address * Phone Number * Current State of Residence *

Credit Profile Information

Estimated Credit Score Range * Which credit bureaus are you concerned about? What negative items are showing on your credit report? How many negative accounts do you believe are reporting? Do you currently have open positive credit accounts?

Credit Goals

What is your main credit goal? * How soon are you trying to reach your goal? Tell us more about what you are trying to accomplish.

Required Acknowledgments

I certify that the information provided is accurate to the best of my knowledge. I understand that credit repair results are not guaranteed and outcomes may vary based on my credit profile, creditor responses, and bureau investigations. I agree to receive calls, emails, and text messages from Virtus Management Group regarding my inquiry. Message and data rates may apply. Reply STOP to opt out. I agree to the Privacy Policy and Terms & Conditions.

Virtus Management Group does not guarantee specific credit score increases, funding approvals, deletions, or lending outcomes.