Date:___________________________________________________________
Name:__________________________________________________________
Address:________________________________________________________
_______________________________________________________________
Home
Phone:_____________________________________________________
Work
Phone:_____________________________________________________
Social
Security Number:_____________________________________________
Date of
Birth:_____________________________________________________
_______________________________________________________________
In connection with any application made
by me, I understand that you may be requesting information from various
Federal, State, and other agencies which maintain records concerning past
activities relating to my credit, criminal, driving, civil, and other records
and experiences, including claims involving me in the files of insurance
companies, if any.
Without reservation, I authorize
any party or agency contacted to furnish the above-mentioned information
and release all parties involved from any liability and/or responsibility for doing
so. I hereby consent to any potential landlord
obtaining such information from Argus Search, Inc. and/or any of their
agents. This authorization and consent
shall be submitted in an original, fax, or copy form.
I have the right to make a request
to Argus Search, Inc., upon proper identification and payment of any authorized
fees, the information in its files on me at the time of my request. Argus Search, Inc. does hereby agree to
provide the requested information in accordance with the Fair Credit Reporting
Act and submit a written report via U.S. mail or fax.
Signature:
X__________________________________________________________
Argus Search, Inc.
± PO Box 2939 ± Mesquite NV 89027
Phone: 702-613-4931
± Fax: 866-212-2187
Keep a copy of all applicant release forms for your
records for a minimum of 2 years.
For Tenant
Reports, please submit a signed release form to Argus Search, Inc., via fax,
to 866-212-2187.