th
1731 – 16
Street, Suite H, Bakersfield, CA 93301
1614 W. Temple St., Los Angeles, CA 90026
1155 N. First Street, Suite 100, San Jose, CA 95112
77-564 Country Club Drive, Suite 125, Palm Desert, CA 92211
(888) 514-5067
SKIP TRACE – INVESTIGATIVE REQUEST
Client Name & Address:
County:
Court Branch/Location:
Limited
Under 10K
Over 10K
Unlimited
U.D.
Telephone:
Case Number:
Fax Number:
Case Title:
Contact:
Email Address:
File Number:
Please check the services required:
SEARCHES
OTHER SEARCHES
Asset- Basic
Locate- Due Diligence
Statement & Interviews
Asset- Extensive
Employment Search
Surveillance- Activity Check
Bank-Basic (Financial)
Pre-Employment Background
Mobile Document Photocopy
Bank-Extensive (Financial)
Background Investigation
Process Service/ Messenger
Locate- Basic Skip Trace
National Public Records
Locate- Extensive Skip Trace
Public Records Retrieval
SUBJECT OF REQUEST
TYPE:
Individual
Business
Full Name:
Spouse: ________________________________________________
AKA’s:
Date of Birth: Subject:
Spouse: _____________________
Business Name:
Check if Known: [ ] Corp.
[ ] Partnership
[ ] DBA
Last Known Residence: ___________________________________________________________________________________________________
City: ______________________________________________ State:
Zip:
Telephone: ___________________________
Last Known Residence: ___________________________________________________________________________________________________
City: ______________________________________________ State:
Zip:
Telephone: ___________________________
Employed By:
Telephone: ___________________________
Address: ___________________________________________ City: ___________________________ State:
Zip: _________________
Social Security Nos.: Subject:
_
-
_
- ___________
Spouse: _
-
_
- ____________
Driver’s License Nos.: Subject: State ______ # _________________________
Spouse: ______ # ______________________________
Business Tax ID No.: ______________________________________________
_________________________________________________________________________________________________________________________
SPECIAL INSTRUCTIONS:
Please attach copies of credit application, police report, or any other pertinent information. Remember, the more information we possess, the
greater the probability of our success. Provide spousal information when available. Please note any specific or timely service requirements.
Do not exceed $
without further authorization.
skiptraceform2014.doc