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DILIGENT REPORT INFORMATION SHEET
Client:
Address:
Contact:
Phone:
Client Ref. #:
Email:
Client #:
COMMERCIAL SEARCH INFORMATION
Company:
Address:
City:
State:
Zip:
Phone #:
Federal Tax ID #:
DUNS #:
Principal/Owner’s Name:
COMMERCIAL REPORT INFORMATION
Type of Report Desired:
Level I:
Level II:
(Base: $195)
Level III:
(Base: $595)
(Base: $995)
Asset Report
Department of Insurance
Non-Profit Status Verification
Associated Businesses
Drug/Alcohol Screening
Options Encumbrance Analysis
Bank & Debtor Locator Report
Evictions
P.O. Box Locator
Banking Records
Federal Level - Civil Court Records
Payment Analysis Report
Bank Verification
Federal/State Tax Liens
Phone Number
Bankruptcy Docket Sheet
Fictitious Name Search
Possible Current Motor Vehicles at Address
Business Background Report
Filed Law Suits
Possible Liens/Judgments
Business in the News
Financial Ratings Report
Property Assessment
Business Information Report
Financial Statement Review
Property Ownership
Business Owner Profile
Financing Statement Search
Property Search - Deed or Assessor Record
Business Profile
Grantor/Grantee Index
Register of Contractor (License)
Business Profile Summary
Income Statement/Balance Sheet Review
Reverse Number Look-up
Business Registrations
Internet Domains
Risk Score
County Level -Civil Court Records
IRS 5500 (Employer Benefit Plan)
Site Visits
Collections/Address Update
Judgments
Small Business Intelliscore
Commercial Intelliscore
Lease File Review
Small Business Lease Decision Score
Commercial Lease Decision Score
Lease History Verification
Supplier Evaluation Report
Commercial: Dunn & Bradstreet
Liens (Materials & Mechanics)
Tenant Solvency Verification
Commercial: Experian
Maritime Records
UCC Filings
Corporation Filings
Media
UCC Search
Co-Tenancy Exposure Search
Nature of Business Income Source
Watch Lists
DEA Controlled Substances Licenses
Neighbors
Delaware Corporation
Nevada Corporations
422 E. Lockwood Street, Suite 102, Covington, LA 70434
P: 985.276.4430 F: 985.302.5046
request@diligentrisk.com
INDIVIDUAL SEARCH INFORMATION
Name:
Email:
Address:
Aliases:
Vehicle Type:
SSN:
Additional Info:
D.O.B.:
Phone #:
INDIVIDUAL REPORT INFORMATION
Type of Report Desired:
Level I:
Level II:
(Base: $195)
Level III:
(Base: $595)
(Base: $995)
Advanced Person
Employment Report
P.O. Box Locator
Alias Report
Employment Verification
Patriot Act
Asset Report
Federal Firearm & Explosives Licenses
Person Locator
Bank & Debtor Locator Report
Federal Level - Civil Court Records
Phone Number Verification
Bank Verification
Federal Level - Criminal Court Records
Possible Current Motor Vehicles
Bankruptcy Docket Sheet
FFA Aircraft
Possible Liens/Judgments
Civil Court Records
FFA Pilots License
Professional Licenses
Collections/Address Update
Form I-9 and E-Verify
Property Assessment
Concealed Weapons Permit
Hunting/Fishing Licenses
Property Ownership
Corporation Filings
Internet Domains
Property Search - Deed or Assessor Record
Credit Counseling & Housing
IRS ITIN
Reverse Number Look-up
Credit Scoring Report
Maritime Records
Sex Offender List
County Level - Civil Court Records
Marriage and Divorce Report
Social Networking Site
County Level - Criminal Records
MB Rapsheets Criminal
Social Security Number Verification
DEA Controlled Substances Licenses
Military Service Verification
Voter Registrations
Death Records
Motor Vehicle Reports
Watch List Report
Driver’s License
National Criminal
Watercraft Licenses
Drug /Alcohol Screening
National Criminal Report
Education Verification
Neighbors
422 E. Lockwood Street, Suite 102, Covington, LA 70434
P: 985.276.4430 F: 985.302.5046
request@diligentrisk.com
Authorized Signature
Date
By signing this document, client acknowledges and understands he/she is entering into a contract with DRS for services to be performed and agrees to the
terms of the retainer agreement. Diligent Risk Services (DRS) does not warrant all of the information that is contained in this report, and is not liable for any
loss, damage or injury caused by the negligence or other act or failure of DRS in procuring, collecting or communicating any such information. Reliance
on any information contained herein shall be solely at the user’s risk, and shall constitute a waiver of any claim against a release of DRS. This report is
furnished in strict confidence for your exclusive use for legitimate business purposes and for no other purpose, and shall not be reproduced in whole or in
part in any manner whatsoever.
DRS accepts checks, electronic payments and all major credit cards.
Type of Card:
✔
Card #:
Name on Card:
Exp. Date:
-
Security Code:
Please Fax all Requests to: (985) 302-5046 or Email Requests to: request@diligentrisk.com
422 E. Lockwood Street, Suite 102, Covington, LA 70434
P: 985.276.4430 F: 985.302.5046
request@diligentrisk.com