APPLICANT DISCLOSURE FORM
HAVE APPLICANT COMPLETE AND SIGN - FAX 626 398-0642
APPLICANT DISCLOSURE FORM
HAVE APPLICANT COMPLETE AND SIGN - FAX 626 398-0642
Applicants Name_____________________________________________________
Address_____________________________________________________________
City/State/Zip________________________________________________________
Social Security
Number_________________________________________________
Date of Birth_____________Drivers License
#/State_________________________
I authorize ___________________________________ to obtain my consumer credit report and public records from Accurate Credit Bureau and to investigate any personal information on me necessary to arrive at an applicant decision.
Signature______________________________________Date_____/_____/______
Accurate Credit Bureau 1792 E Washington Blvd. Pasadena, CA. 91104
Phone 626 798-6670 Fax 626 398 0642