Credit Smart LLC
273 Walt Whitman Rd. Suite 310,
Huntington Station, NY 11746
info@credsmart.org
I / We:
___________________________________________________
LOCATED AT :
____________________________________________
IN THE CITY OF:
__________________________________________
STATE OF:
_______________________________________________
ZIP: _________________ AUTHORIZE CREDIT SMART LLC
TO:
1: Communicate and negotiate with banks,
creditors, financial institutions, student loan agencies, collection agencies,
third-party vendors, related personnel and all other necessary entities and
individuals relating to my (our) debt.
2: Obtain
records, debt validations, credit reports and support for the debts allegedly
owned on my (our) debts.
3: Communicate,
negotiate and settle debts. I (we) affirm that all of the information that I
(we) have or will provide to Credit Smart LLC is accurate, timely and
correct. Credit Smart LLC may discuss
any and all details of my (our) financial situation with any first party
creditor, collection agency, credit reporting agency or law firm.
4: I (We)
understand and acknowledge that Credit Smart LLC is not a law firm. Its employees
are not licensed to practice law or provide legal advice, and I (we) expressly
agree to waive any claim against Credit Smart LLC relating to any communication
it may have on my behalf. I (We) understand that any creditor or collection
activity, demands, or lawsuits are unrelated to my enrollment in the
Credit Smart LLC debt settlement program, and would occur regardless because I
(we) am/are already or will be in default and unable to meet my (our) financial
obligations. I (We) acknowledge that I
(we) have enrolled into a savings and negotiation Program (as described in
Client Agreement), and that is not related to any creditor actions.
5: The
recipient of this Authorization, whether by original, photocopy, facsimile or
electronic copy is specifically authorized and Instructed by the undersigned
party (ies) to
contact, or receive communications from Credit Smart LLC or its employees at
the address and telephone numbers listed in the above letterhead regarding any
of the purposes listed herein.
Applicant
Signature ____________________Date___________
Co- Applicant
Signature ____________________Date___________