Investigation Skip Trace Request by hcj

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									Koch Recovery
P.O. Box 5213
Sugarloaf, CA 92386
909-584-1705
877-210-5801

Investigation / Skip Trace Request

Company Name _________________________________________________________

Contact Name      _________________________________________________________

Phone __________________ Email ___________________ Date ____/____/_________

Type Of Investigation Requested

_____   Skip Trace Only
_____   Comprehensive Profile
_____   Asset/Liabilities/Real Estate
_____   Credit History/Bankruptcy/Bank Accounts
_____   Stocks/Bonds/Investments
_____   Vehicles/Planes/Boats
_____   Pre-Trial Investigations
_____   Physical/On Location/Investigations
_____   DTO – Notice Of Pending Investigation
_____   Other/Specify ____________________________________________________

Subject Information

Last Name ___________________________ First Name ________________________

Phone ______________________________        SSN# ____________________________

Address _____________________________ City ______________________________

State _________       Zip ____________________

Employment _____________________________________________________________
Address _________________________________________ Phone _________________

Spouse Name ____________________________________ SSN# _________________

Employment _____________________________________________________________
Address _________________________________________ Phone _________________

Nearest Relative #1 _______________________________________________________
Address _________________________________________ Phone _________________

Nearest Relative #2 _______________________________________________________
Address _________________________________________ Phone _________________

Additional Info ___________________________________________________________

  *****    RETURN COMPLETED FORM VIA FAX TO:              909-584-9176 *****

								
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