EBAC

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Enter New Unit Number
Purchase or Rental?

P u r c h a s eR e n t a l
Main Applicant Full Name
Main Applicant Social Security #
Valid Contact Number
Valid Contact E-mail Address
Gender

MaleFemale
Current Residence

Street Address

City & StateCounty Seat

Zip Code
Main-Applicant Current Occupation

EmployedSelf-EmployedRetired/Unemployed
Date of Birth

MonthDayYear
If unemployed or retired, please describe your current status
Marital Status

SingleMarriedDivorcedSeparatedWidowed
Do you have children?

YesNo
Any living at home over 18?

YesNo
Please list your children oldest to youngest
**Please enter your financial advisor's, portfolio manager's, or accountant information in order for us to contact them as soon as possible regarding your real estate, employment, character references, and/or net worth.**

Financial Advisor / Accountant Name

Degree(s) earned

CompanyContact Phone #

Postal / Zip Code
Financial Advisor/Accountant E-mail Address
Co-Resident Full Name
Co-Resident Social Security #
Is your address different from the main applicants?

YesNo
Co-Resident Current Residence

Full Name

Current Street Address

City & StateCounty Seat

Zip Code
Gender

MaleFemale
Co-Resident Current Occupation

EmployedSelf-EmployedRetired/Unemployed
Date of Birth

MonthDayYear
If unemployed or retired, please describe your current status
Current Residence
Do you Rent or Own?

R e n tO w n
Upload Copy of Rental Agreement

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For Renters:

Landlord Name

Landlord Phone

Lease BeginningLease Expiration

Unit #
Landlord E-mail
PREVIOUS RESIDENCE If current residence is less than two years:
For Renters:

Landlord Name

Landlord Phone

Lease BeginningLease Expiration

Unit #
Landlord E-mail
For Owners:

Landlord Name

Mortgage BalanceYears Owned

Are You Selling?
Are you selling the residence?

YesNo
Is it currently listed for sale?

YesNo
Realtor Information:

Realtor Name

Listing PriceAgency

Listing Price
Please list additional residences / rental properties CURRENTLY owned:
Employment History
Main Applicant Self Employment Info

Company Name

Your Title

Annual SalaryCounty Seat

Social Security #
Your Business Address

Street Address

Your Current Title

City & StateZip Code

Social Security #
Main Applicant Self-Employed Since

MonthDayYear
Main Applicant Current Employer

Company Name

Your Current Title

Annual SalaryBonus Amount

Social Security #
Current Employer Address

Street Address

Your Current Title

City & StateZip Code

Social Security #
HR Representative / Supervisor

Someone qualified and able to verify dates and salary

Your Current Title

Valid Contact #Position

Social Security #
Employer e-mail qualified to verify your employment
Main Applicant Date of Hire

MonthDayYear
Main Applicant Past Employer

Company Name

Your Past Title

Annual SalaryBonus Amount

Social Security #
Past Employer Address

Street Address

Your Current Title

City & StateZip Code

Social Security #
HR Representative / Supervisor

Someone qualified and able to verify dates and salary

Your Current Title

Valid Contact #Position

Social Security #
Employer e-mail qualified to verify your past employment
Dates of Past Employment:
Co-Resident Self-Employment Info

Company Name

Your Title

Annual SalaryBonus Amount

Social Security #
Your Business Address

Street Address

Your Current Title

City & StateZip Code

Social Security #
Co-Resident Self-Employed Since

MonthDayYear
Co-Resident Current Employer

Company Name

Your Current Position

Annual SalaryBonus Amount

Social Security #
Current Employer Address

Street Address

Your Current Title

City & StateZip Code

Social Security #
HR Representative / Supervisor

Someone qualified and able to verify dates and salary

Your Current Title

Valid Phone #Position

Social Security #
Employee e-mail qualified to verify your employment
Co-Resident Date of Hire

MonthDayYear
Co-Resident Past Employer

Company Name

Your Past Position

Annual SalaryBonus Amount

Social Security #
Past Employer Address

Street Address

Your Current Title

City & StateZip Code

Social Security #
HR Representative / Supervisor

Someone qualified and able to verify dates and salary

Your Current Title

Valid Phone #Position

Social Security #
Employee e-mail qualified to verify your past employment
Dates of Past Employment:
Financial Overview
In order to verify net worth and income sources, please provide up-to-date images of account statements, investment portfolios, financial overviews, and tax documentation

Keep in mind that the larger the balance, the more useful the account is to your report.
For example: Three accounts with large balances are preferable to ten small ones.

Please include pages 1 - 2 of the last two years of your federal income tax returns which will be included in your report with your social security numbers redacted
Upload Online Account Screenshots and/or Scan Paper Statements:
Once you drag the documents, don't forget to hit 'BEGIN UPLOAD'
Alternate Upload Portal with File Browsing

Upload a File
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Character References

Please refrain from using relatives. This section is not required.
Main Applicant Reference #1

Full Name

Relationship to Party

Years KnownPhone Number

Years Known
Main Applicant Reference #1 E-mail
Main Applicant Reference #2

Full Name

Relationship to Party

Years KnownPhone Number

Years Known
Main Applicant Reference #2 E-mail
Co-Applicant Reference #1

Full Name

Relationship to Party

Years KnownPhone Number

Years Known
Co-Applicant Reference #1 E-mail
Co-Applicant Reference #2

Full Name

Relationship to Party

Years KnownPhone Number

Years Known
Co-Applicant Reference #2 E-mail
Comments and Suggestions
Service Agreement*
Signature

Clear
Co-Applicant Signature

Clear

Select when you'd like your report to be delivered

2-Day$475.00

Includes One Comprehensive Criminal Background

4-Day$375.00

Includes One Comprehensive Criminal Background

7-Day$325.00

Includes One Comprehensive Criminal Background

Co-Applicant Criminal Background$75.00

Second Comprehensive Criminal Background as required for the Co-applicant on any service selected above

Quantity

Total $0.00

Credit Card

Please read all important documentation carefully prior to submitting and make sure that all requested information has been correctly provided. If we require any further information a representative will contact you shortly. For questions e-mail us at support@thomasreports.com or call (815)-678-4305 during business hours.
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Please Fill Out Each Section Completely

Current Residence

Employment History

Financial Overview

Character References

Credit Card

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