If you selected "other" above, what kind of payment card are you using? Type "n/a" if not applicable.16-digit card numberExpiration Date3-digit CVV code
What is your payment amount?
If "other", what is your payment amount? Type "n/a" if not applicable.
By submitting this payment, you authorize your payment card to be charged for the amount stated or indicated on this form.
Sun: Closed, Mon-Fri: 9 am-5 pm, Sat: By appointment only
Legal Advocate 4 LLC
Application For Credit
Finance your legal advocate services in bi-weekly or monthly installments with Legal Advocate 4 LLC Credit. Apply Below. *restrictions apply
NameE-mailDate of BirthSSN:Residential AddressMailing Address (type "same" if same as residential address)City/StateZipcode
live with relatives
Phone Number Type
Time at Current Address
1 year or less
If you have resided at your current residence less than 1 year, you may be required to provide additional documentation to obtain credit.
Employment Status/Income Source
If 'other' explain your employment status/income source.
How often are you paid?
What's your gross monthly income before taxes?
Do you have an active checking account? *You must have an active checking account to apply for Legal Advocate 4 LLC Credit.
Bank NameBank Routing NumberBank Account NumberCurrent EmployerCurrent Supervisor Name/Contact NumberLength of Employment with CompanyPrevious EmployerPrevious Supervisor Name/Contact NumberLength of Employment with CompanyReference 1Reference 2
Reference 1 Type
Reference 2 Type
I understand that all Legal Advocate 4 LLC Credit approvals are subject to a non-negotiable minimum initial payment of $300, that may increase based on credit worthiness.
By submitting this Legal Advocate 4 LLC Application for Credit, I authorize Legal Advocate 4 LLC and/or its employees/representatives/affiliates to obtain/access my consumer report/s or credit report/s with one or more of the credit reporting agencies (CRA'S) for the purpose of determining credit worthiness and credit approval for Legal Advocate 4 LLC services. I understand this may result in an inquiry on one or more of my consumer reports, and I understand credit approval is not guaranteed.
I authorize Legal Advocate 4 LLC to obtain/access my consumer credit report/with one or more of the credit reporting agencies for the purpose of obtaining credit for Legal Advocate 4 LLC services.
* Consultation scheduled upon confirmation of payment receipt.
* Initial consultation required for all services.
Name (first, last)E-mailPhone Number
Legal Advocacy Needs/Services (select all that apply)
COVID Mask Exemption
Driver's License Status/Reinstatement
Traffic School Enrollment
Court Records/Document Review
Briefly describe advocacy need/s if you checked other above. Otherwise, type N/A.Select desired initial consultation date.State desired initial consultation time from 9-5 pm CST.Additional Comments
16-Digit Card NumberExpiration DateCVV (3-digit code on back of card)Name exactly as it appears on card.
By submitting this form, I authorize my selected payment method above to be charged for the amount of $25.00 for an initial consultation with Legal Advocate 4 LLC., plus the cost of any service/s with a listed price selected above.