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Employment Screening Sample Report

Background Checks Systems, Inc.
1172 South Dixie Hwy - Ste 257
Coral Gables, Fl 33146
Phone: (305)663-6268
Fax: (305)402-3181
Search Subject Profile Information

Name: Sandra Marie Doe
SSN: 524-66-5555
DOB: 08-05-1954
Street: 123 Main Street
City: Greenville
State: NC
Zip: 88050
The following are included in this report:
search type detail status
Instant Statewide Criminal + Sexual Offender Nationwide Complete
Instant Credit Report

Instant Driving Records

Equifax

North Carolina

Complete

Complete

Instant Statewide Criminal + Sexual Offender

Jurisdiction Searched Nationwide Jurisdictions Searched:

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Name Searched Sandra Marie Doe
DOB 08-05-1954
SSN 524-66-5555
Search ID 2580
Reference Fountainbleau Apartments
Date Ordered 11/10/2003
Date Completed 11/10/2003 8:05 AM
Results
Records were found on Sandra Marie Doe
7 detail matches were selected.

DOE, SANDRA M Date of Birth: 08/05/1954

Address:

123 MAIN STREET

City State Zip:

RALEIGH NC 27612

County:

WAKE

Aliases (AKA):

SANDRA M. JOHNSON

Gender:

FEMALE

Race:

WHITE

ID NUMBER 910ARTIKATR19740614

Crime:

MISD PROB VIOLATION OUT OF COUNTY

Disposition:

PROCESS OTHER (USE IN PLACE OF 'OT' EXCEPT FOR OFFENSE 9954)

Degree Of Offense:

MISDEMEANOR

Statute:

15A-1345

Disposition Date:

05/01/2001

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

011689

Special Condition:

TERM

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS


DOE, SANDRA M Date of Birth: 08/05/1954

Address:

RR 1 BOX 80B

City State Zip:

HOOKERTON NC 285389756

County:

PITT

Aliases (AKA):

SANDRA M. JOHNSON, JITTERBUG JOHNSON

Gender:

FEMALE

Race:

WHITE

ID NUMBER 730ARTIKATRC19740614

Crime:

NO OPERATORS LICENSE

Disposition:

DISMISSAL WITH LEAVE BY DA

Degree Of Offense:

TRAFFIC MISDEMEANOR

Statute:

20-7(A)

Disposition Date:

06/16/1998

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

027813

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS

ID NUMBER 730ARTIKATRC19740614

Crime:

NO REGISTRATION CARD

Disposition:

DISMISSAL WITH LEAVE BY DA

Degree Of Offense:

TRAFFIC MISDEMEANOR

Statute:

20-57(C)

Disposition Date:

06/16/1998

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

027813

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS

ID NUMBER 730ARTIKATRC19740614

Crime:

SPEEDING 030/25

Disposition:

WAIVER - CLERK

Degree Of Offense:

INFRACTIONS

Statute:

20-141(B)(G)

Disposition Date:

08/13/1997

Court Costs:

$65

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

017469

Verdict:

RESPONSIBLE

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS


DOE, SANDRA M Date of Birth: 08/05/1954

Address:

RR 1 BOX 80B

City State Zip:

HOOKERTON NC 285389756

County:

GREENE

Aliases (AKA):

SANDRA M. JOHNSON

Gender:

FEMALE

Race:

WHITE

ID NUMBER 390ARTIKATRC19740614

Crime:

DWLR

Disposition:

DISMISSAL WITHOUT LEAVE BY DA

Degree Of Offense:

TRAFFIC MISDEMEANOR

Statute:

20-28(A)

Disposition Date:

08/20/1999

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

001567

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS

ID NUMBER 390ARTIKATRC19740614

Crime:

EXPIRED REGISTRATION CARD/TAG

Disposition:

DISMISSAL WITHOUT LEAVE BY DA

Degree Of Offense:

TRAFFIC MISDEMEANOR

Statute:

20-111(2)

Disposition Date:

01/31/1997

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

002504

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS

ID NUMBER 390ARTIKATRC19740614

Crime:

SIMPLE WORTHLESS CHECK

Disposition:

DISMISSAL WITHOUT LEAVE BY DA

Degree Of Offense:

MISDEMEANOR

Statute:

14-107(D)(1)

Disposition Date:

08/04/1995

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

001143

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS

ID NUMBER 390ARTIKATRC19740614

Crime:

DWLR

Disposition:

DISMISSAL WITHOUT LEAVE BY DA

Degree Of Offense:

TRAFFIC MISDEMEANOR

Statute:

20-28(A)

Disposition Date:

10/23/1998

NORTH CAROLINA ADMIN OFFICE OF COURTS Specific Information

Case Number:

001640

Datasource: NORTH CAROLINA ADMIN OFFICE OF COURTS

Data from the sources enclosed is collected from State Repositories, Counties and Correctional Institutions databases. All supplementary countywide databases detailed are included in your search for State requested in addition to Main Statewide database source (i.e. Dept of Corrections, Dept of Public Safety, Admin Of Courts, Dept of Criminal Justice, etc.) + Most States now include Sexual Offenders with photographs in addition to criminal databases, all for the same price!
P.R.I.O.R.S. = Over 50 million additional records of prior positive search results that came from County and State searches previously conducted helps increase positive search findings.
Criminal searches are processed on a name and EXACT DOB match basis. Please ensure that search subject does not have additional known aliases.
Search Tip: If unsure about DOB, please run search again without inputting DOB in order to get all NAME MATCHES (not recommended for common first/last name combinations as you may get 100's of name matches)

This information is considered public record. However, If you are using any of our consumer reports, including our instant products to assist in determining someone's employment or rental eligibility, you are required under federal law to do the following:

1.Obtain a signed Authorization Release Form
2.Provide a Pre Adverse Action Letter
3.Provide a Decline Letter to applicant stating the reasons for their disqualification and how to dispute the findings
4.Provide a Summary of Consumer Rights.


This search may not include all criminal records contained in each of the States listed above and should not be used in place of an "On-Site" County Court level search. Positive records data indicates a possible criminal history on the searched subject and a full case file should be pulled directly from the court in which the case is filed.

Driving History Report


State

North Carolina

License

780524

Name Searched

Sandra Marie Doe

DOB Searched

08/05/1954

SSN Searched

524-66-5555

Search ID

8141

Reference

Fountainbleau Apts

Date Ordered

11/10/2003

Results

NORTH CAROLINA DRIVER RECORD REPORT

REPORT SEARCH DATE -> 11/10/2003

LICENSE NAME/ADDRESS DRIVER DESCRIPTION
------------------------------ --------------------------------------
DOE SANDRA MARIE D.O.B. |SEX| HGT |RACE| SOC.SEC
123 MAIN STREET ========|===|=====|====|===========
GREENVILLE, NC. 27534 08-05-54| F |5 07"| W |524-66-5555


LICENSE NUMBER ORIG.ISSUED ISSUED EXPIRES CLASS STATUS
----------------- ----------- ---------- ---------- -------- ----------
780524 01-16-87 10-29-01 10-12-06 CLS C ACTIVE
--------------------------------------------------------------------------------


RESTRICTIONS: T:,0-NONE
ENDORSEMENTS:
PRIOR STATE: DL #: STATUS:
C.D.L. ISSUED: STATUS:
LICENSE TYPE: R
POINTS: 5

LIC LMT COND
CLASS GRP TYP ISSUE DT EXPIR DT CDL DISQ PROB PRIV RESTR STATUS
C R 10-29-01 10-12-06 N N N N N ACTIVE
ENDORS: RESTRICT: 0


** THIS DRIVING RECORD IS FOR A 7 YEAR PERIOD **

TYPE VIOL/SUSPE CONVEN/REI HISTORY ENTRY PTS
---- ---------- ---------- ----------------------------------------------- ---
VIOL 09/25/2001 12/31/2001 SPEEDING ( 54 MPH IN A 45) 2
State Code..........: 313
Court/Agency........: WAKE COUNTY COURT, NC
Order/Viol #........: C2143321
AOC #...............: 01IF 050408
ACD.................: S92

VIOL 06/29/2001 08/06/2001 SPEEDING ( 64 MPH IN A 55) 3
State Code..........: 313
Court/Agency........: FRANKLIN COUNTY COURT,
NC
Order/Viol #........: 00607508
AOC #...............: 01IF 001725
ACD.................: S92

OTHE 04/02/2001 10/12/2001 CLS C
SubType.............: DUP ISS
RS..................: 0

VIOL 03/31/1998 05/07/1998 SPEEDING ( 74 MPH IN A 65) 3
State Code..........: 313
Court/Agency........: ORANGE COUNTY COURT, NC
Order/Viol #........: 08513426
AOC #...............: 98IF 003777
ACD.................: S92

OTHE 03/06/1998 10/12/2001 CLS C
SubType.............: DUP ISS
RS..................: 0


*****END OF RECORD*****

Instant Credit Report


Name Searched

Sandra Marie Doe

DOB Searched

08-05-1954

SSN Searched

524-66-5555

Search ID

2580

Reference

Fountainbleau Apartments

Date Ordered

11/10/2003

Date Completed

11/10/2003

Results

EQUIFAX REPORT

Personal Information Since 12/01/83 FAD 11/10/03



Reported

Name
DOB
SSN
Address
Address
Address

DOE, SANDRA M aka JOHNSON, SANDRA M
08-05-1954
524-66-5555
123 MAIN STREET, GREENVILLE, NC 88050
456 PARADISE DRV, SAINT LOUIS, MO 64530
789 CLEMATIS STREET, WEST PALM BEACH, FL 33465




08/03
03/01
11/84


Employment

Employer
Occupation

City
State

Hired
Separated

Verified
Indirect Ind.

GET WELL HOSPITAL - ER NURSE

NC

01/00

02/02

SAINT LOUIS CARDINALS BASEBALL

MO

05/95

07/95

CLEVELAND CLINIC - NURSE

FL

08/85

05/86


Summary

PR/OI

2

Rev

6

# Accts

18

30

2

Hist 30

37

Lowest HC

$0

Bankruptcies

1

Inst

12

# Inq

21

60

0

Hist 60

24

Highest HC

$64,150

Collections

7

Open

0

Curr Accts

4

90

3

Hist 90

118

Type

High

Balance

Past Due

Payment

Revolving

$9,401

$5,233

$1,463

$309

Installment

$31,207

$24,219

$2,376

$729

Real Estate

$0

$0

$0

$0

Open/Other

$0

$0

$0

$0

Totals

$40,608

$29,452

$3,839

$1,038


Public Records

FILED/RPTD
VRFD/CHKD
SATIS/REL

Cust#
Case#
Type

Amt
Asset
Exempt

Defendant
Plaintiff

Narr

07/03

615VC15215
2CV217358
Judgment

$1,250

JOHNSON SANDRA M
BELL TELEPHONE COMPANY


11/95

08/00

615VC12586
CV228521
Judgment

152VF000815
0220815-DSP-04/01
Individual Bankruptcy
Discharged CH-7

$14,852

No Assets Case

DOE SANDRA M
CHASE MANHATTAN BANK VISA

JOHNSON SANDRA M JOINT W/

JOHNSON BURT T



Collections

Client
Acct/Serial#
Customer#

DLA
ECOA

Reported
Assigned
Orig Amt

Balance
Bal Date

Stat Code
Stat Desc
Stat Date

Narr

SAK'S 5AVE
125689
180YC1289536

04/00
Individual

02/03
06/01
$560

$560
02/03

D
Unpaid
02/03


MISSOURI GAS ENERGY
21152481
901YC1025896

08/02
Individual

11/02
09/02
$980


11/02

P
Paid
11/02


PRIMECO CELLULAR
752801
615YC526958

09/01
Individual

08/02
06/02
$187

$187
08/02

D
Unpaid
08/02


BLOOMINGDALE'S
5782654
496YC852789

05/01
Individual

02/02
11/01
$5,283

$2,820
02/02

D
Unpaid
02/02


NATIONAL X-RAYS
152684
615YC85269

03/99
Individual

10/01
02/00
$425

$425
10/01

D
Unpaid
10/01


ROYAL LIMOUSINES
17829562
682YC852691

04/00
Individual

09/00
06/00
$375

$375
09/00

D
Unpaid
09/00


MASTER'S TECH COLLEGE
852692
615YC85241

12/98
Individual

05/00
04/00
$985

$550
05/00

D
Unpaid
05/00


Collection Totals

$8,795

$4,917


Revolving Accounts

Current Status

Hist Status

Acc Name/Address

RPTD
OPND
DLA

High
ECOA

PMT
Terms

Bal

PastDue

Mths 30 60 90

Rating

Date

JCP/MCCBG
Customer:404FF12345
IR
Paid account / Zero balance

11/03
11/96
09/00

$0
Individual

$0

$0

$0

59

R 1


JONES
Customer:152CG35689
Charge

10/03
12/99
04/03

$1,145
Individual

$96

$1,190

$445

46 00 00 27

R 4
R 4
R 5
R 5


09/03
02/03
01/03

MONT/WARD
Customer:906DC85215
Paid charge off

07/03
01/00
06/00

$1,213
Individual

$0

$0

$0

01 01 05

R 9
R 5
R 5
R 5


12/00
11/00
10/00

FCNB/SPGL
Customer:133BB85269
Charged off account
Charge

02/03
03/00
07/02

$845
Individual

$30

$845

$225

04 03 09

R 9
R 5
R 5
R 5


01/03
12/02
11/02

MBNA AMER
Customer:801CC8529
Charged off account
Account transferred or sold

11/01
02/00
05/01

$3,000
Individual

$88

$0

$0

20 02 02 08

R 9
R 5
R 5
R 4


09/01
08/01
07/01

UMB USA
Customer:615OP85269
Charged off account
Credit Card

03/01
08/91
03/00

$3,198
Joint

$95

$3,198

$793

05 02 08

R 9
R 5
R 5
R 5


02/01
01/01
12/00

Revolving Totals

$309

$5,233

$1,463


Installment Accounts

Current Status

Hist Status

Acc Name/Address

RPTD
OPND
DLA

High
ECOA

PMT
Terms

Bal

PastDue

Mths 30 60 90

Rating

Date

BENFCL/HFC
01-34569
Customer:155FX85296

10/03
02/00
02/00

$4,135
Individual

$92

$3,704

$276

43 08 02 06

I 4
I 3
I 2
I 5


09/03
08/03
12/01

WFFINANCE
4337-852965
Customer:612FP98526
Charged off account

09/03
01/00
05/00

$0
Individual

$20

$352

$352

00 00 12

I 9
I 5
I 5
I 5


11/02
10/02
09/02

WFFINANCE
329-48526952
Customer:615FF30552
Charged off account

09/03
02/00
05/00

$0
Individual

$46

$1,092

$1,092

02 01 16

I 9
I 5
I 5
I 5


09/02
08/02
07/02

DRIVEFIN
8069852965
Customer:180FY852692
Auto

08/03
06/03
08/03

$17,354
Individual

$475

$17,346

$0

01

I 1


FMCC
18529652
Customer:644PG7415269
Charge off - making payments
Auto

03/01
08/97
04/00

$8,027
Primary

$50

$416

$334

I 9
I 2
I 2


07/00
05/00

WFFINANCE
7532-85269258
Customer:612PC852415
Account transferred or sold

12/01
01/00
05/00

$746
Individual

$20

$0

$0

14 00 03 11

I 2
I 5
I 5
I 5


11/01
10/01
09/01

COMMERCEBK
74125896245895
Customer:85TT526952
Charged off account
Auto

11/01
07/97
07/01

$485
Joint

$440

$0

$0

01 01 01

I 9
I 4
I 3
I 2


10/01
09/01
08/01

WFFINANCE
12345-852489
Customer:615TU8524

05/01
02/00
05/00

$1,691
Individual

$46

$1,309

$322

08 00 01 07

I 5
I 5
I 5
I 5


04/01
03/01
02/01

WFFINANCE
12345-852489
Customer:615TU8524
Account transferred or sold

10/00
01/00
05/00

$746
Individual

$20

$0

$0

08 01 02 02

I 4
I 4
I 4
I 3


09/00
08/00
07/00

Installment Totals

$729

$24,219

$2,376


Mortgage Accounts

Current Status

Hist Status

Acc Name/Address

RPTD
OPND
DLA

High
ECOA

PMT
Terms

Bal

PastDue

Mths 30 60 90

Rating

Date

COUNTRYWIDE MORTGAGE
85275896
Customer:TN8769046PF

Real Estate Mortgage
Conventional Mortgage

11/02
06/97
10/02

$40,000
Joint

$542

$0

$0

13 01 00 00

I 1
I 2


01/02

LINCOLN MUTUAL
741258963258
Customer:TK687945737
Freddie Mac Account
Real Estate Mortgage

12/02
03/93
09/02

$64,150
Joint

$678

$0

$0

38 09 05 06

I 2
I 2
I 2
I 5


11/02
02/02
09/01

FARMER'S SAVINGS
95123578
Customer:MO74190UT
Freddie Mac Account
Account transferred or sold

08/00
03/93
08/00

$64,150
Joint

$678

$0

$0

79 03 01 00

I 1
I 3
I 2
I 2


07/00
05/00
01/00

Mortgage Totals

$0

$0

$0


Inquiries

Date

Customer Name

Customer Number

01/27/2003

CBC OKLHMA

CR852369

01/24/2003

FA CREDCO

CR 17415962

01/18/2003

CR RESOURC

CR 47415962

10/07/2003

FIRST USA

4852HH623

07/01/2003

CBT

560THUO76

06/17/2003

DRIVEFINCL

578OPJ345

04/24/2003

SW BELL

95263P415

02/28/2003

DRIVEFINCL

90TGB345

02/21/2003

BLU SPGS F

09754EFR

02/03/2003

SW BELL

863238526

01/18/2003

TRIADFINCO

456YHBD

01/18/2003

CAPONEAUTO

8526985417

01/18/2003

SHOWMEAU

95268OPPL

01/17/2003

SHAWNEE

789KOL009

11/22/2002

DITECH

741258000

11/21/2002

DITECH

741258000

09/26/2002

WFFINANCE

555TTT520

09/11/2002

JOHN CHEZ

567890OIU

08/03/2002

NEXTEL

89654123DDF

04/02/2002

DRIVEFINCL

90TGB345

02/28/2002

WFFINANCE

555TTT520

Consumer Narrative

Reported
Purged
Narrative

04/06

EMPLOYER: BEFORE TAKING ADVERSE ACTION IN AN EMPLOYMENT DECISION BASED ON A PERSONA REPORT, THE FCRA REQUIRES YOU TO PROVIDE THE CONSUMER WITH A COPY OF THE CONSUMER REPORT, ALONG WITH A WRITTEN DESCRIPTION OF THE CONSUMER'S RIGHTS UNDER THE FCRA EQUIFAX HAS PROVIDED YOUR COMPANY WITH COPIES OF THE CONSUMER'S RIGHTS STATEMENTS FOR THIS PURPOSE.

Consumer Referral Location:
EQUIFAX INFORMATION SERVICES LLC
P O BOX 740241
ATLANTA /GA 303740241
(800) 685-1111

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