Sign Up Form
Be it known that I, the undersigned, am the individual/authorized officer of the business /personal entity listed below and as such, do hereby grant a limited power of Attorney to Rising Star Financial Services, its’ authorized agents and employees to undertake and perform the following on my behalf:
Sign all documents on my behalf for the purpose of challenging and verifying account information as instructed by myself to all consumer credit reporting bureaus.
First Name
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Middle Name
Last Name
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Street Address
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City/State
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Zip
*
Prev. Address
City/State
Zip
Prev. Address
City/State
Zip
Social Security Number
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Date of Birth
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*
*
Phone (Home)
Phone (Work)
Phone (Cell)
Fax
Place of Employment