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<p>WES & CINDY FERGUSON’S PROPERTIES 2443 Fair Oaks Blvd. PMB 293 Sacramento, CA 95825-7684 Phone/Fax (916) 488-4639</p><p>Due to requirements in the Fair Credit Reporting Act (FCRA), the following supplement must be added to any application that is being processed by this office for the purpose of extending credit.</p><p>This supplemental signature page must be a “stand alone document”, (not part of the application of any other forms).</p><p>This signature document should be attached to your application.</p><p>Supplemental signature page: (Please PRINT Information)</p><p>Date: ______</p><p>I, ______, Social Security Number: _____-___-_____</p><p>Birth Date: ______, do authorize Cindy and Wes Ferguson of Ferguson Properties to run my credit for the purpose of tenant screening.</p><p>If credit is denied based on my credit, I have the right to obtain a free copy of the credit report within 60 days.</p><p>My current address is: ______(Print street address)</p><p>______(Print City, State, Zip code)</p><p>Signed by: ______</p><p>Office use only: Date Credit Report mailed: ______Revised 4/2002</p>
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