Accelerated Banking Financial Assessment
First Name *
Last Name *
We are requesting your social security number for the purpose of sending credit applications in your behalf. This is an optional information. You may choose to send in credit applications on your own. The Kwak Brothers only collect information that is necessary to perform our services either by our employees or our contractors. You may request to remove your information from our database at any time.
Estimated Monthly Gross Income
Estimated Monthly Expenses? *
Approximate Total Monthly Debt Payments?
Social Security Number
Please List All Current Debt Accounts and its Balances & Approximate Monthly Payments
Mortgage Original Balance
Mortgage Interest Rate
Mortgage Term (Years)?
From time to time, we may request additional information from you after you submit the application. After you submit the application, your assigned financial counselor will reach out to you.