Request Authorization Form

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REQUEST AUTHORIZATION FORM
To Be Completed By US Real Estate
Client (Requestor) ONLY:
*Client ID #________________________
FAX COMPLETED REQUEST AUTHORIZATION FORM TO 855-244-2401
*Requested by ______________________
(Or) Order & View Request Online 24/7/365- Login at
First
Last
Toll Free Phone Support 855-244-2400 M-F 9am to 9pm EST and Sat 11am to 5pm
*Phone #
________________________
Email support at Requests@
*Reply Fax # ________________________
Applicant Information and Signature Release
* Required Fields
PRINT CLEARLY - *All fields are REQUIRED
:
Please “X” Requested Service(s)
Statewide Bundle………………………..…..
(Note: Tenant requests are per applicant and not filed jointly per bureau compliance)
Nationwide Bundle………………………....
*Applicant Full Name:_____________________________________________________
Background Bundle (No Credit Data)….
First
Middle
Last
All Bundles include: Eviction record, criminal record, 50
*SSN#:_____________-____________-_____________ *DOB: ______/_______/______
state sex offender search, SSN# verification and address
history. TransUnion credit report w/score or Tenant Score
Card also included (except Background Bundle). Call for
*Address:____________________________________________ APT # _____________
credit report details- viewing/printing detailed reports
available with approved onsite office inspection.
Credit Reports w/score
*City: ____________________________ *State:___________ *Zip: ________________
TransUnion Credit Report………………….
Former Address (if NOT at present address for 2 years ):
Experian Credit Report…………………….
Equifax Credit Report………………………
*Address:____________________________________________ *APT # _____________
*Tenant Score Card………………………….
*Pass /Fail Based on credit report findings and risk
*City: ____________________________ *State:___________ *Zip: ________________
threshold established in Tenant Score Card set-up
Pre-Employment Credit Report………..
Canadian Report……………………………...
Business Credit Report……………………..
*Monthly Income: ________________________________________
______________________
(EIN#)
*Proposed Monthly Rent: __________________________________
Criminal Background
Statewide Criminal Check…………………
Nationwide Criminal Check………………
County Criminal Check……………………..
Driver’s License # (if requesting Driver’s License History Report):
___________________
(Specify County)
_____________________________________________________________
Global Criminal Check………………………
Federal Criminal Record…………………..
_________________
(Specify Jurisdiction)
I authorize the named below to obtain a credit report, criminal report, and or eviction
Eviction Reports
check, on me, through for tenant screening purposes.
Statewide Eviction……………………………
Nationwide Eviction…………………………
Other Checks
*Applicant Signature:__________________________ Date:____/_____/20____
SSN# Verification…………………………….
Prev. Landlord Verification………………
Employment Verification…………………
Driver’s License History…………………..
PeopleFinder Service……………………….

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