Credit Report Request Form printable pdf download

CREDIT REPORT REQUEST FORM

Please fax requests to 309-277-4288 or email .

Questions? Call ARA at 800-334-2177 or visit .

The undersigned is authorized by this business to request credit reports and acknowledges the confidentiality of the information.

All credit reports contain Fair Credit Reporting Act (FCRA) regulated information. Due to FCRA Regulations, under no circumstance is

the applicant, its business representatives or unauthorized store personnel to view credit reports. Please direct all questions regarding

contents of the credit reports to BIZ Experian at 888-512-4879.

Date: ________________ Store name: ________________________________________________ ARA member ID#: ________________

Name of authorized person: __________________________________________ Signature: _____________________________________

(Signature required)

Phone: ______________________________ Fax: ___________________________ Email: _______________________________________

Select how you would prefer to receive your credit report:  Fax  E-mail

CHOOSE YOUR REPORT

COMMERCIAL REPORTS – PROCESSED THROUGH ARA:

A $5 charge will be applied for searched records that result in no records found or when you choose not to order a report.

 Business Profile ($32) — Detailed business report, containing credit history and public record filings.

 Intelliscore Plus: Commercial ($20) — Single-page, BIZ Experian scoring Business Credit Report.

 Business IQ Premier Profile ($45) — Adds fraud screening, suggested credit limit with the Combination Report.

 Canadian Profile (USD $50) — Integrated summary report for Canadian businesses.

(Processed through BIZ Experian directly)

Please allow 24-48 hours for processing.

PROPRIETOR REPORTS – PROCESSED THROUGH BIZ EXPERIAN DIRECTLY:

 Intelliscore Plus: Commercial and Proprietor* ($20) — Scored business and proprietor

credit report.

(up to four owners of the business)

(Requires a BIZ subscriber account.)

 Business Owner Profile* ($32) — Detailed scored report on the business owner.

(Requires a BIZ subscriber account.)

COMMERCIAL REQUEST INFORMATION

(Must have company name, address, city, state and ZIP code.)

Please print/type information to ensure best results and quick turnaround.

Parent company name: _________________________________________________________________________________________________

Doing business as: _____________________________________________________________________________________________________

Company phone: ________________________________________

Address: _____________________________________________________________________________________________________________

City: ______________________________________ State/province: _______________________________ ZIP/postal: _________________

Previous address: _____________________________________________________________________________________________________

City: ______________________________________ State/province: ________________________________ ZIP/postal: _________________

PROPRIETOR INFORMATION

Access to FCRA-regulated information requires establishing a subscriber account prior to processing.

Must have Commercial Request Information in order to process Proprietor request.

*Due to the FCRA Regulations there is a one-time fee of $65 for anyone requesting a Proprieter Report for the first time.

Full name: ____________________________________________________________________________________________________________

Home address: _______________________________________________________________________________________________________

City: ______________________________________ State/province: ______________________________ ZIP/postal: _________________

____________________________________________________________________________

Social Security #

(Strongly recommended)

Please allow 1 hour for turnaround — all requests must be submitted by 4:00 pm (CST) for same day service.

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Credit Report Request Form

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