You must agree to the terms below before we can process your credit check.
By checking the box below and providing my name and social security number, I hereby authorize The
Source Private Investigation, LLC to verify my past and present employment earnings records,
bank accounts, stockholdings, and any other asset balances that are needed to process my
consumer dispute/reconciliation. I/We further authorize The
Source Private Investigation, LLC to order a consumer credit report and verify other credit information, including past and present mortgages, landlord references.
The
Source Private Investigation, LLC may
also verify my personal
credit
information. It is understood that a copy of this form will also serve as
authorization. This authorization expires 120 days from the date indicated below.
Privacy Act Notice: This information is to be used by the agency collecting. It will not be disclosed outside
the
agency except as required and permitted by law.
The
information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. Seq. (if HUD/FHA); by 42 USC,
Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et.seq., or 7
USC,
1921 et. Seq. (if USDA/FMHA).