| CLIENT / Requesting Party Information |
|
|
| Name (Last, First, Middle Initial) |
|
| Billing Address |
|
| Mailing Address |
|
| Home Phone |
|
| Cell Phone |
|
| Fax |
|
| Email Address |
|
| How do you prefer to receive this L.A.B. Report? * |
Email Mail Fax |
|
|
SUBJECT INFORMATION
ONLY THE FIRST, LAST NAME AND STATE ARE REQUIRED, BUT, IN ORDER TO ENSURE MAXIMUM ACCURACY, PLEASE PROVIDE AS MUCH INFORMATION AS KNOWN ABOUT THE OTHER PARTY. |
| First Name |
|
| Last Name |
|
| State |
|
| Gender |
Male Female |
| Known Aliases or Other Spellings |
|
| Current Address |
|
| Previous Address |
|
| Known Family Members or Neighbors |
|
| Birth Date (MM/DD/YYYY) |
|
| Age or Age Range |
|
| Social Security |
|
| Verification |
 |
|
|
|
Red items indicate required fields.
Disclaimer: All material contained in the L.A.B. Report is intended solely for informational purposes. The Firm will not distribute personal information about clients except when specifically and knowingly requested by clients. Client information will be utilized for internal use only and will not be distributed to third parties. The Report is a compilation of data garnered from public records and a third party information database. The Law Offices of Chen and Lee cannot guarantee the accuracy or comprehensiveness of the data. There are no refunds in the event a search comes up empty, whether this is due to lack of information provided or lack of data available. |