Build your credit - LaVie Consulting

This agreement between Lavie Consulting (“Lavie Consulting,” “We,” “Our,” “Ours,” or “Us”) and

Enter Your Name *

Please upload your Identity pictures, Driver lisence or Passport, SSN card or w2 or pay stub or tax return, and Bill or bank statement.

Scan and upload a photo of your current, valid state Drivers’ License or a Government Issued Photo ID.

Upload your ID Picture (DL or Passport) *

Maximum upload size: 516MB

A photo of your Social security card or W 2

Upload your SSN Card picture *

Maximum upload size: 516MB

A photo of a recent utility bill or bank statement showing your name and current residence address – must be less than 60 days old.

Upload your Utility Bill or Bank Statement *

Maximum upload size: 516MB

Your Full Name *

Your Phone Number *

Personal Email Address *

Current Address

Please enter FULL address including zip code

Date Of Birth *

Social Security Number *

Employer name (if applicable)

Employer Address (if applicable)

Please enter FULL address including zip code

Employer Phone Number (if applicable)

Signature *

Referred By: (if applicable)