SAMPLE CRIMINAL HISTORY REPORT
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1 SAMPLE CRIMINAL HISTORY REPORT CASE #1 NAME: Consumer, John COUNTY: Sacramento, CA COURT NAME: Sacramento Superior CASE #: 98F23456 DOB ON FILE: DATE OF OFFENSE: CHARGES: CT1- PC 496- Receiving stolen property CT2- PC 487- Grand theft PLEA: CT1-Guilty CT2-Dismissed DATE OF DISPOSITION: FINAL DISPOSITION OF CASE: Felony reduced to Misdemeanor SENTENCE/DISPOSITION: 6 months county jail Fines and restitution 3 years formal probation CASE #2 NAME: Consumer, John COUNTY: Sacramento, CA COURT NAME: Sacramento Superior CASE #: CR DOB ON FILE: DATE OF OFFENSE: CHARGES: CT1- PC 211- Robbery CT2- PC 211- Robbery CT3- PC 459- Burglary CT4- PC 245(a)(2)- Assault w/ deadly weapon CT5- PC 245(a)(2)- Assault w/ deadly weapon CT6- PC 245(a)(2)- Assault w/ deadly weapon CT7- PC 245(a)(2)- Assault w/ deadly weapon PLEA: Convicted by jury trial DATE OF DISPOSITION: FINAL DISPOSITION OF CASE: Felony SENTENCE/DISPOSITION: 8 years state prison
2 SAMPLE DRIVING RECORD REPORT Date/Time: 10/04/97 07:17:48 Requester: NM Reason: 54 Reference: License #: A Name: Con Born: / / License #: A Issued: 10/12/93 Expires: 1997 Class: C Name: Consumer, John Born: 10/20/74 Ht: 5-09 Wt: 130 Sex: M Eyes: Brn Hair: Brn Status: Valid ACCIDENTS: Date Type Veh Lic Report Num. Location CA Butte Year License First Issued: End (Approx)
3 SAMPLE SOCIAL SECURITY TRACE TCL4 NES XXXXXX , U-McCoy, T-35, V-07/ CREDITbase PAGE 1 DATE TIME 15:48:15 PCA64 V101 JONATHAN QUINCY CONSUMER SS: X E: AJAX HARDWARE N BIRCH ST *1X 2035 BROADWAY ST300 BURBANK CA *1X LOS ANGELES CA RPTD: TO 3-96 U 3X YOB: 1951 RPTD: 4-91 I LAST SUB: SP: SUSAN 1314 SOPHIA LN APT 3 E: BELL AUTOMOTIVE SANTA ANA CA MAIN STREET RPTD: 7-93 U 1X BURBANK CA LAST SUB: RPTD: 9-95 I JACK CONSUMER, JOHN SMITH, JONATHAN SMITH JONES JR MICHAEL ALCHIN SS: *6X E: IMPERIAL LUMBER 235 EAGLE POINT BLVD # X 1910 SWANSON AVE BUFFALO NY DOB: 1/10/1951 BUFFALO NY RPTD: 9-95 U 1X SP: JANE RPTD: 9-95 I LAST SUB: DEMOGRAPHICS PH: UR PH: IB PH: UB DL: CA N HM: OWNER GEO: FACS+ SUMMARY INPUT SSN RECORDED AS DECEASED FILE: COMMERCIAL BUSINESS ADDRESS: DOB: DOD: J & J INVESTMENTS INPUT SSN ISSUED BOWSER ST #312 END EXPERIAN SOCIAL SEARCH
4 SAMPLE WANTS AND WARRANTS A SEARCH OF WANTS AND WARRANTS FOR THE BELOW PERSON WAS CONDUCTED NATIONWIDE. ANY WANTS AND/OR WARRANTS FOUND ARE DETAILED BELOW. YOU CAN CONTACT THE ORIGINATING LAW ENFORCEMENT AGENCY. MKE/WANTED PERSON: ORI/CONTACT AGENCY: LAST NAME: FIRST NAME: SEX: RACE: YES DOE JOHN M W DOB: HGT: 5 8 WGT: 170 EYE: HAIR: BRO BRO SOC: DLN: DLS: A CA DLY: 1999 OFFENSE: ROBBERY DOW/DATE OF WARRANT: OCA/AGENCY FILE NUMBER: NIC/WARRANT NUMBER: MIS/MISC INFO SECTION: PA1/: W SUBJECT ARMED & DANGEROUS, USE CAUTION, WILL EXTRADITE ALL STATES IMMED CONFIRM WARRANT AND EXTRADITION WITH ORI
5 SAMPLE WORKERS COMPENSATION Ref: Requestor: MLD Requested: 02/04/97 13:11:29 CA WORKERS COMP INQUIRY BY SSN INQUIRY RESPONSE File No: I Client: Sue Smith Received: 02/06/97 ABC Company WCAB Case No: LAO Hutton Centre Case Location: Los Angeles (16) Santa Ana, CA Case Status: Active Injured Worker: Bosco, Maria Injured Worker SSN: DOB: 01/01/55 Injury Dates: 11/15/96 through 11/29/96 Injury Type: Cumulative, occupational Injury #1 Injury #2 Injury #3 Injury #4 Laceration to right arm 5 most recent Significant Events: Event #1 Order approving C&R 02/02/97 Event #2 Case submitted for decision 01/30/97 Event #3 Mandatory settlement conference held 01/30/97 Event #4 Application for adjudication filed 12/20/96 Event #5 ADDRESS RECORDS: Injured Worker: Injured Worker s Attorney: Employer: Insurer: End of Record Bosco, Maria 4222 S. Main St. Los Angeles, CA (310) Hansen Law Office 1111 Wilshire #555 Beverly Hills, CA (310) Growtech 986 E. 20 th St. Los Angeles, CA (310) State Compensation Insurance Fund Workers Compensation Claims Manager P.O. Box 2134 Terminal Annex Los Angeles, CA 90054
6 SAMPLE CREDIT REPORT Consumer, Jonathan Q ; CA Birch St /Burbank Ca 91205; CHECK, K-PH, RM-3, V-07/091/1.07 CREDITbase (inquiry data sent to credit bureau) (start of data received from credit bureau) PAGE 1 DATE TIME 16:28:13 PCA24 V101 TCA7 JONATHAN QUINCY CONSUMER SS: E: AJAX HARDWARE N BIRCH ST * 2035 BROADWAY ST300 BURBANK CA * LOS ANGELES CA RPTD: TO 3-96 U 3X YOB: 1951 RPTD: 4-91 I LAST SUB: *2600 BOWSER ST #312 E: BELL AUTOMOTIVE LOS ANGELES CA MAIN STREET RPTD: 2-91 I BURBANK CA RPTD: TO 2-90 I *JACK CONSUMER, JOHN SMITH, JONATHAN SMITH JONES JR DEMOGRAPHICS GEO: FACS+ SUMMARY INPUT SSN RECORDED AS DECEASED INQ: PHONE ANSWERING SERVICE: DOB: DOD: ABC ANSWER-ALL INPUT SSN ISSUED BURBANK CA FROM INQ COUNT FOR SSN= FROM INQ COUNT FOR ADDRESS=15 FILE: COMMERCIAL BUSINESS ADDRESS: J & J INVESTMENTS 2600 BOWSER ST #312 LOS ANGELES CA PROFILE SUMMARY CNT 04/01/01/20 PUBLIC RECORDS PAST DUE AMT $956 INQUIRES SATIS ACCTS INSTALL BAL-----$30,630 SCH/EST PAY $1,431 INQS/ 6 MO--- 2 NOW DEL/DRG R ESTATE BAL N/A R ESTATE PAY N/A TRADELINE-- 5 WAS DEL/DRG REVOLVNG BAL------$50 REVOLVNG AVAIL---96% PAID ACCT----1 OLD TRADE PUBLIC RECORDS *SO CALIF DISTRICT COUR $12,450 CO LIEN REL -C#: BP: B476P2109 *COUNTY SPR CT SANTA ANA $1,200 CIV CL JUDG -D#: PLAINTIFF: ALLIED COMPANY BP: B1234P50987 *U S BANKRUPTCY COURT $8,500-L BK 13-PETIT -D#: $100,000-A VOLUN TRADES SUBSCRIBER OPEN AMT-TYP1 AMT-TYP2 ACCTCOND PYMT STATUS
7 SAMPLE CREDIT REPORT (CONT.) SUB# KOB TYP TRM ECOA BALDATE BALANCE PYMT LEVEL MOS REV PYMT HISTORY ACCOUNT # LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH *CREDIT AND COLLECTION 9-94 $500-O COLLACCT YC UNK UNK $ (20) E ORIGINAL CREDITOR: DR. JOHN KILDARE HEMLOCKS 2-95 $900-L $500-H CLOSED CURR ACCT DC CHG REV $ (17) BNCCCCCCCCC-C CNNC *MOUNTAIN BK 3-93 $43,225-O OPEN 30 3 TIMES BI SEC $19, (39) 1CCCCCC1CCCCC 3562A R12345> 4-96 $956 $ /1 CCCCCCCCCCCC >3562A *BAY COMPANY 1-68 $1,400-L $1,200-H OPEN CURR ACCT DC CHG REV $ (99) C0C321CCCC $10-E CCCCCCCCCCCC **ACCOUNT WAS IN DISPUTE-NOW RESOLVED-REPORTED BY SUBSCRIBER** CENTRAL BANK $22,350-O OPEN CURR ACCT BI AUT $11, (31) CCCCCCCCCCCCC $465 CCCCCCCCCCCC COLLATERAL: 1994 FORD TAURUS INQUIRIES HEMLOCKS DC BAY COMPANY DC $1,500 CHG REV HILLSIDE BANK BC MESSAGES CONSUMER ASSISTANCE CONTACT: EXPERIAN INFORAMTION SERVICCES NCAC 666 N CENTRAL EXPWAY, EXIT 28, PO BOX 949, ALLENT, TX CONSUMER STATEMENT: I WAS TARGETED BY A MAN-SHAPED ROBOT T-2000 FROM THE DISTANT FUTURE WHO STOLE ALL OF MY MONEY AND RAN OFF EITH MY WIFE AND TERMINATED MY ACCOUNTS. END -- EXPERIAN
8 CREDIT KEY Displayable- This is a sample of how trades display: Account Condition and Payment Status OPEN CUR WAS 30 Account Condition Only COLL ACCT Two Account Conditions PAID COLL ACCT 25-Month Payment History C = Current 1 = 30 days past due date 2 = 60 days past due date 3 = 90 days past due date 4 = 120 days past due date 5 = 150 days past due date 6 = 180 days or more past due date 7 = 69, D, H, Y 8 = 42, 87, 89, 94, 95, 96 9 = 66, 67, 86, 88, 91, 92, 93, 97, A, B, C, E, F, G, V, W, X N = Zero balance not on update tape received 0 = Current with zero balance reported on tape - = No history reported that month by subscriber B = Account condition change, payment code is not applicable G = Collection H = Foreclosure Surrender J = Voluntary Surrender K = Repossession L = Charge-off Delinquency Counters 30/60/90+/DEROG 30 = # of times 30 days delinquent 60 = # of times 60 days delinquent 90 = # of times 90+ days delinquent DEROG = # of times derogatory (greater than 180 days delinquent) Terms Frequency D = Deferred P = Single Payment Loan W = Weekly B = Biweekly E = Semimonthly L = Bimonthly Q = Quarterly T = Triannually S = Semiannually Y = Annually Payment Amount Types E = Estimated S = Scheduled A = Actual The Subscriber Code Number The second digit represents the subscriber s industry. 0 Public Record/Associations 1 Bank 2 Bank Credit Card 3 Retail Example: Credit Card ^ 5 Loan Finance 6 Sales Finance 7 Credit Union 8 Savings & Loan 9 Service & Professional
9 SAMPLE EMPLOYMENT VERIFICATION CLIENT: ABC Corporation SUBJECT: John Consumer DATE: SS NO: EMPLOYMENT VERIFICATION: TRUCKLAND TRAILWAYS, SACRAMENTO, CA Contact was made with Mr. B., Operations Manager. Stated dates of employment were verified as to present. Job title is "casual" and subject works on an "on-call basis". Mr. B explained that workers could work 0 to 40 hours per week. Job duties are loading and unloading trailers by a combination of forklift and manual labor. Wage was verified at $14.45 per hour. Job performance was rated as "good." Subject would be eligible for rehire. WESTERN AREA DISTRIBUTION CENTER, SACRAMENTO, CA Contact was made with Ms. J, Floor Supervisor. Stated dates of employment were verified as January 4, 1993 to April 3, Work was seasonal and subject's job title was Distribution Clerk. Job duties consisted of loading and unloading trucks, stocking, shipping, and processing orders. Job performance was rated as excellent. Attendance was rated as "good. Contact stated subject, "was always there when we needed him to be." Subject is eligible for rehire. CALIFORNIA FRANCHISE TAX BOARD, SACRAMENTO, CA Contact was made with Jackie, Supervisor of Personnel. Stated dates of employment were verified as January 1992 to May Job title was seasonal clerk and subject was hired on a temporary basis with no guaranteed hours. Wages were reported as $6.69 per hour. Termination was noted as a seasonal lay off. No additional information was available. ***END REPORT***
10 SAMPLE EDUCATIONAL VERIFICATION CLIENT: ABC Corporation SUBJECT: John Consumer DATE: SS NO: EDUCATIONAL VERIFICATION: UNIVERSITY OF CALIFORNIA DAVIS, DAVIS, CA Contact was made with Ms. D, Admissions Clerk. A written verification was transmitted confirming dates of enrollment as September 3, 1986 to June 16, Subject received a Bachelor of Science degree in Physics, June 16, Subject s minor was verified as Chemistry. GPA was verified as 3.4.
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