Credit Report Application
___ Premier Search (Includes rent Defaults/evictions) $25 ___ Add $ 3 to include FICO from One bureau (Transunion) $28 ___ Out of State Consumer Credit Report $17.00 ___ Out of State Premier Search $27.00 Applicant # 1 Applicant #2 Name_______________________________ Name ___________________________ Social Security #_______________________ Social Security #___________________ Drivers License #______________________ Drivers License # __________________ State _______________________ State __________________ Current Address _______________________ Current Address ___________________ _______________________ ____________________ Premier Search Data Premier Search Data Previous Address ____________________________________ ____________________________________ Previous Address ____________________________________ ____________________________________ Previous Address _________________________________ _________________________________ Previous Address _________________________________ _________________________________
___ Consumer Credit Report $ 15.00
I agree that such credit investigation is reasonably related to the rental of a house or apartment. I have been advised that such an investigation may obtain opinions concerning my credit worthiness, and hereby agree to hold agent harmless from any liability of damages arising out of such opinions. I understand that the agent cannot guarantee the accuracy of the credit report and herby release them from any and all responsibility and hold them harmless for any loss or damage which I may suffer due to any inaccurate reports. __________________________________ Applicant #1 Signature __________________________________ Applicant #2 Signature
_________________________________ ____________________________________ PWR Member Name CC # (Visa or M/C only) Exp. Date Sec. Code ________________________ Building Name _______________________ Phone # ___________________ Fax #