LMR International, Inc
3750 GALT OCEAN DR # 1511
FORT LAUDERDALE, FL 33308-7638

Ph: (954) 568-7153
Fx: (800) 708-0365
Support@LMRinternational.com

Lorenzo Rodriguez is your agent

Referred by: Harrison Bunk
Greene, Hersch Esq
8635 Loch Raven Blvd
Towson, MD 21286

Ph: (305) 345-6782
Fx: (410) 665-3697
creditmoneymachine.com

STATUS SUMMARY

Deleted:	2	1	1
Updated:	1	1	1
In Progress:	1	2	0
To be disputed	1	1	2
No Change:	1	1	1
Total items:	6	6	5

All Three Bureaus

Repaired:	42%
In Progress:	18%
To be disputed:	24%
No Change:	18%

Initial Score	550
Current Score	650
Improvement	100

Initial Score	540
Current Score	680
Improvement	140

Initial Score	550
Current Score	690
Improvement	140

Please fill in as much as you can:

Personal Information
First Name		Last Name
Address		City
State		Zip Code
Phone No.		Mobile No.
Email Address		Fax No.

Social Security		Date of birth
Comments

Payment - Credit Card Information
Credit Card Number		Exp. Date (mm/yy) /	CW Code

Payment - Bank Account Information
Bank Name	Account No.	Routing No.	Check No.

Documents

The preferred format is JPG but also you can send PNG if you want

Driver's License / ID
Social Security ID
Utility Bill
Other 1
Other 2
Other 3

Please fill in as much as you can:

Personal Information

Payment - Credit Card Information

Payment - Bank Account Information

Confirmation

Documents