Mountain Valley Home Mortgage

Need to talk with a live Mortgage specialist?

Call us toll free at:
1-866-370-5261

Guaranteed no-hype home mortgages. We will not low-ball you only to raise your rates at a later date.

We will repair your credit report by correcting bona-fide inaccurate information and removing erroneous entries. This process may take 3-6 months before the corrections appear on your credit report. You will be charged $55.00 per correction per reporting agency. You will be informed of the total charges before we initiate the correction process. If you have any questions, please do not hesitate to call us at 1-866-370-5261.

To initiate this service, please complete the application below:

Your Information

First Name

Last Name

Present Street Address
City	State	Zip

Home Phone		Work Phone		Cell Phone
Email

Your Social Security Number

I give Mountain Valley Mortgage
permission to obtain my credit report
Yes No

PLEASE LIST ALL KNOWN ERRORS

We will pull a new credit report to verify these errors and provide you the opportunity to identify any additional.

Name of Creditor	Account No.	Explain Error
Name of Creditor	Account No.	Explain Error
Name of Creditor	Acount No.	Explain Error
Name of Creditor	Account No.	Explain Error
Name of Creditor	Account No.	Explain Error
Name of Creditor	Account No.	Explain Error
Name of Creditor	Account No.	Explain Error
Name of Creditor	Account No.	Explain Error
Name of Creditor	Account No.	Explain Error
Name of Creditor	Account No.	Explain Error

I certify that I provided Mountain Valley Mortgage authority to pull my credit and to represent me and my interests in correcting any and all errors in my credit report. I understand that I will be charged $55.00 per correction per reporting agency and that such fees are payable prior to the initiation of service. I also understand that there is a $35.00 initial consultation fee which includes obtaining a new and updated credit report.

My Acknowledgement

Credit Card Information

You will be charged $35.00 as an initial consultation fee.

I prefer to pay by check:

Name on Credit Card:

Type of Credit Card:

Credit Card Number:

Card Verification Number:

Expiration Date:

Amount of Payment:

$35.00

Billing address (where you receive your credit card bills), if different from above

Street:

City:

State:

Zip Code:

This document will not be "signed" in the sense of a traditional paper document. To verify the contents of this form, the signatory must enter any combination of alpha/numeric characters that has been specifically adopted to serve the function of the signature, preceded and followed by the forward slash (/) symbol. Acceptable "signatures" could include: /john doe/; /jd/; and /123-4567/. For example: if your name is John Miller, you could type /John Miller/ below.

Signature: Date: