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I.E.S. Client Intake

Please know that once your information is submitted, Your information will be processed in the order it was received. One of our agents will contact you to verify your identity. Furthermore you will receive a contract via E-mail which allows us to work with your information on your behalf. if you have questions after reading it please ask the agent whom contacts you or reach out to us directly at 800-210-9812 press option 0 to be connected to a customer service agent. You may also E-mail us at info@creditzap.org 

                                                 I.E.S. Intake

    Please take your time and fill out every detail required. Please double check all of your spelling and all the information you provided on this form, as it will be used to verify your ID when we contact you. 
    000-000-0000
    XXX-XX-XXXX Please note your personal information will be protected and safeguarded. If you are uncomfortable with providing this information one of our friendly customer service agents will contact you to obtain it upon receiving your intake.
    00/00/0000 Please note your personal information will be protected and safeguarded. If you are uncomfortable with providing this information one of our friendly customer service agents will contact you to obtain it upon receiving your intake.

    If Retired just state Retired in the required field.
    Please provide us with your timeshare information. Separate with a comma
    Provide your I.E.S Case Manager's Name
    ***If there is more than one individual on said Timeshare(s) Please fill out below. If there is more than two individuals please place the third one in the Notes section below and include their Name, Number, E-mail address and Address. If you are missing any information please state that in the notes section as well and our team will aid and assist in obtaining said information.***
    Please note as stated above someone will be in contact with you in an effort to obtain or verify your SSN, DOB and a copy of your Identification within 24-48 hours. Upon Clicking Submit you will be taken to the upload center where you will be asked to upload a picture of your drivers license. This is used to verify your Identity. 
Submit
All information is kept on a secure server and is never shared without written or recorded verbal consent.

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Hours of Operation


Mon - Fri: 
​9am - 5pm
Sat - Sun:  
By Appt.

Contact Information


Toll-Free 1-800-210-9812
​Phone:
219-465-8741​
Fax: 219-246-4581
Email: info@creditzap.org
​
Docs: docs@creditzap.org

Headquarters -
257 Indiana Ave. Ste D-1      Valparaiso, IN 46383
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Indiana -
​P.O. Box 284 La Crosse, IN 46348
Phone - (219)-465-8741
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Florida -
15 75th St. W. Ste 15011 Bradenton, FL 34209
Phone - (941)-201-3896
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Texas -
 7231 FM 1960 RD W STE A-62354 
Humble, TX 77338
Phone- (832)-662-5464
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California - Coming Soon
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New York- Coming Soon
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