to the Information Sheet - Diligent Real Estate Risk Services
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 [email protected] 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 [email protected] 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: [email protected] 422 E. Lockwood Street, Suite 102, Covington, LA 70434 P: 985.276.4430 F: 985.302.5046 [email protected]
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