CCR Landlord/Agent Agreement

Landlord Or Realty Company Registration
Capitol City Credit Account RepresentativeEmailReferralOther
Capitol City Credit Account Representative

First NameLast Name
Referrer's Name

First NameLast Name
Landlord or Realty Company Name*
Landlord or Realty Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Office is Located *
Contact Person*

First NameLast Name
Title*
Contact Phone *

Area CodePhone Number
Contact E-mail*
Intended Use of Consumer Report*
RealtorIndividual Property OwnerProperty Management CompanyOther
IndividualJoint VentureLimited Liability CompanyCorporationAgencyOther
Bill meApplicants Pay
Email the invoiceSend the invoice via USPS mail
Website URL
Terms
Please read the Terms and Conditions of service, as displayed below, and save/or print a copy for your records.
Save, View or Print PDF Version
Please read the OBLIGATIONS OF USERS UNDER THE FCRA requirements as displayed below, and save/or print a copy for your records.
Save, View or Print PDF Version
Accepts by Subscriber
I agree that the credit reports are only to be run for the tenant or employment /financial screening and users will not order credit reports on themselves, friends or family.I will not resell credit information.I have read and agree to the FCRA Requirements.I have read and agree to the Terms & Conditions.
Physical Site Inspection
To be a registered client of Capitol City Credit Company and access its reporting services, a client must agree to have a physical site inspection performed by Capitol City Credit Company at the client’s principal place of business. The purpose of the inspection is to ensure that the client’s business facility is commensurate with the size and type of business listed on the Client Agreement.

In the event that a client’s principal place of business changes, an additional site inspection must be performed within sixty (60) days of Capitol City Credit Company becoming aware of such change.
0-2526-5051-100Other
Signature (This document must be signed)*
Date*

MonthDayYear
By submitting this contract, I attest that I have read, understand and agree to all the terms and conditions in this contract.
Should be Empty:

Landlord Or Realty Company Registration

Terms

Accepts by Subscriber

Physical Site Inspection