⚠️ IMPORTANT: Action Required

All information on this form is required to begin working on your file.

Client Information

Full Name *

Email *

Phone *

Social Security Number *

Date of birth *

Mailing Address

City

State

Country

Postal Code

Are you a U.S. Citizen or green card holder? *

Client Documents

Required Documentation

Acceptable Documentation Guidelines

Please ensure all uploaded documents meet the following requirements:

Full Image: The entire document must be visible—no cut-off edges, corners, or cropped sections.
Clear & Readable: All text must be easy to read. Blurry or dark images will not be accepted.
Proof of Identity: Upload a clear photo of your entire government -issued ID (e.g., driver’s license, passport) with all information visible.
Proof of Address: Must show your current mailing address clearly (e.g., utility bill, bank statement, lease agreement). Ensure the date and address are visible.

Incomplete or unclear documentation will delay the process. If you’re unsure, feel free to ask before uploading!

Government ID *

Social Security Card *

Proof Of Address *

Must be current, nothing older than 30 days.

FTC Report

Other

Letter from data breach etc

️ CFPB Account Setup Instructions

As part of your Credit Sweep, we file direct complaints with the Consumer Financial Protection Bureau (CFPB) to escalate disputes and hold credit bureaus accountable. You must have an active account, and we’ll need your login to complete this step.

If You DON’T Have a CFPB Account Yet:

Visit: www.consumerfinance.gov
Click “Sign In” (top right) then select “Create Account”
Use your legal name and current email address

Enter your active username, password, and security questions for your credit monitoring service. If incorrect, your file will be placed on hold.

For the most accurate results during your sweep, I recommend pulling your

3-bureau report instantly through SMARTCREDIT.

You must sign up for this while we are repairing your credit. (Monthly Recurring Fee $24.95)

Using Smart Credit not only gives you a complete 3-bureau file in minutes: https://www.smartcredit.com/shepire

SMART CREDIT USERNAME

SMART CREDIT PASSWORD

CFPB EMAIL *

CFPB PASSWORD *

Please verify that your login credentials are valid BEFORE submitting this form. Your email address will be your username. Please confirm your password is correct, if not it will delay the process, as I’ll need to reach out to get corrected information!

I confirm that my CFPB Credentials are correct and active ? *

Terms & Conditions

By booking our services, you agree to the following terms:

No Guarantees: We make no guarantees regarding specific results or the timeframe in which credit improvements may occur. Every client's credit situation is unique, and success depends on various factors outside our control.

Payment Policy: All payments must be made in full as agreed. If a payment fails, is reversed, or disputes are initiated through the bank or credit card company, legal action may be taken to recover the outstanding balance, and you may be held liable for additional fees.

No Refunds: Payments for services are non-refundable, as we invest time and resources into each case upon agreement.

By proceeding with your booking, you confirm that you understand and agree to these terms.

I confirm that all information I entered here is accurate and true.

I allow you to capture my sensitive data like personal ID, government ID, Social Security Number (SSN), and other information.

I have read the terms and conditions and privacy policy.

I agree with the Terms & Condition *

Chargeback Acknowledgment & Refund Disclaimer

By proceeding with services rendered by Shepire LLC , the client acknowledges and agrees to the following terms regarding payment disputes and chargebacks:

All payments are final. Due to the digital nature of services and the immediate labor-intensive preparation of dispute documentation, no refunds will be issued under any circumstance once work has begun.

Chargebacks are not tolerated. Filing a chargeback or payment dispute with your bank or credit card company after receiving services or documentation is considered fraudulent and will be viewed as an intentional breach of this agreement.

False chargebacks = legal action. If a chargeback is filed falsely, you acknowledge that The Credit Goat reserves the right to pursue legal remedies, including:

Civil claims for breach of contract and theft of services

Submission of the incident to fraud databases

Formal complaints with financial institutions and the CFPB

Bank disputes do not override signed agreements. Attempting to reverse a payment with your bank will not release you from the terms agreed upon, nor does it entitle you to cancel services retroactively.

You must contact The Credit Goat directly to resolve any concerns. We are committed to professionalism and transparency, and we expect the same integrity in return.

By signing and submitting payment, the client affirms that they have read, understood, and agreed to these terms in full. This acknowledgment may be used as evidence in the event of a payment dispute.

Charge Back Acknowledgment & Refund Disclaimer *

Signature *

Clear

Date *

Zero Tolerance for Chargebacks or Fraudulent Activity Any chargebacks or fraudulent claims will be treated as contract violations and may result in legal action. We stand by our work—so please respect the process. *