Order form

This page is on a secure server, all data sent from this form will be encrypted once the submit button is pressed.

Please select at least one of the following products:
All searches are confidential, the subject will not know you are ordering this report.

Find People Report

Safe-Date
Report

Pre-employment Nanny/Tenant

Basic Background Search

With SS#$40
for search
W/O SS#$55

With SS#$60
for search
W/O SS#$75

$95

$60

* Special *
Combined Find People w/ Basic Background Search

Extensive Profile / Background Search

Business Trade History

Investigate your doctor or dentist

$80

$95

$85

$35

* SPECIAL *

Free DOB and SSN ID Lookup / Verify For Criminal Record Search Order ($60 value)

Basic Background History Profile ($60 value) combined with Criminal Search:

$150

Extensive Background Profile Search (reaches deeper, more databases) With Criminal Record Search that includes felony AND misdemeanors:

$200

CHECK A SELECTION ABOVE OR ENTER YOUR SEARCH/SEARCHES BELOW:

TO FIND ANYONE, INVESTIGATE YOUR DATE, RUN A PROFILE/BACKGROUND SEARCH OR CRIMINAL RECORDS SEARCH.

If you wish to run a Profile/Background Search, we require the subjects full name with middle initial, social security number, and, accurate date of birth. Otherwise we need to run a Locate Search as well to obtain this information in order to accurately ID your subject. We suggest the Combined Locate/Profile Search to SAVE MONEY!

Each search is run based upon the spelling you provide for the name of the subject being investigated. As each search costs money, please be sure the spelling is correct to avoid additional charges. If you are not sure of a subject's name, maiden or otherwise, more than one search may be required.

Your repeat business is important to us. We pledge to make every effort to fulfill your requirements.

PLEASE ENTER THE INFORMATION YOU HAVE ON THE INDIVIDUAL OF THE REQUIRED SEARCH:

First name:	Middle name:	Last name:

Date of Birth (mmddyyyy)	Approx Age	Possible State of residence

Zip code:	Social Security Number: Be sure the SS# provided to run the search is accurate as you will be charged for any subject who turns up on the search.
	(123 45 6789)
Last known Street Address, City and State:
Street:
City:
State:
Zip:

Investigate your doctor:
All searches are confidential, the subject will not know you are ordering this report.

Please enter the doctor's information:
Doctor Name:
Specialty:
Address:
City:
State:
Zip:

Payment methods:

Please fill in credit card information below:

Please note:
Address must be entered as it appears on your credit card bill.

For your security, we ask for a Card Identification Number:

Please locate the 3 or 4 digit credit card ID number for your card from the examples shown below and enter it into the "Card ID Number" field.

Here is a sample of how to find your card's ID number:

American Express:
4 digits on front of card

Visa and MasterCard:
3 digits on back of card

First name:

Middle name:

Last name:

Email:

Address:

City:

State/Zip:

Phone Number:

Fax Number: ($5.00/report)

Card type:

Card ID Number:

Card number:

Expiration (mm/yy):

Total amount
of purchase:

In keeping with the legitimate needs for information and the legal restrictions of the Fair Credit Reporting Act (FCRA) please indicate the permissible reason for your search by checking any of the boxes from the selections below. Note that any information provided as a result of your search may not be used to determine eligibility for credit or insurance.

Please indicate the purpose(s) for which you will use our service by selecting all that apply:


	Uniting separated families, locate a lost / missing friend or relative.

	Due diligence.

	For use by an attorney or law firm in carrying out its functions or legal representation.

	Locate individual(s) in relation to legal proceedings.

	Identification and location for the purpose of collection activity.

	Risk management, fraud detection / prevention.

	For use by government agency (including any court or law enforcement agency)

	Child support enforcement / debt collection.

	Employment Investigation / pre-employment screening. (Requires a signed release if results are to be used for this purpose.)

	Claims investigation.

	For use in connection with any Civil, Criminal, Administrative or Arbitration proceeding in any Federal, State or Local Court or Agency or before any regulatory body, including the service of process, investigation, anticipation of litigation, and/or the execution or enforcement of judgments and orders, or pursuant to an order of a Federal, State, or Local Court.

By ordering this search you are agreeing to the conditions of our customer service agreement statements and to use the information provided in a lawful and legitimate manner.

Fraud Policy

Referred By:

TO ORDER BY PHONE PLEASE CALL (818) 745-1212

IF PAYING BY CASHIER’S CHECK OR MONEY ORDER
PRINT THIS FORM AND MAIL TO:

NATIONAL CREDIT & ATTORNEY RESOURCES
P.O. BOX 570109
TARZANA, CA 91357

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