Credit Report Form

Have you paid for this service (if not, go to "Order a Service" and pay.

If you are screening only one tenant, press "Submit Button" below. Otherwise, fill out "Co Applicant" then press "Submit Button".

Number of Tenants I am screening

Tenant Info. for Credit Report

I have tenant (s) signature (s) shown below allowing their permission to run their credit (if marked "no", please do not proceed until received).

Yes

Order Number of proof of payment (emailed to you):

Yes

One

Two

First Name:

Last Name:

Social Security Number (000-00-0000)

Birthday (Mon-Day-19__)

Tenant's current home address:

City:

State:

Zip Code

Co Applicant First Name

Co Last Name:

Co Social Security Number (000-00-0000)

Co Birthday (Mon-Day-19__)

Please attach tenant application (otherwise fax to: 435/783-6531):

Please type your email address:

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