Lumbermen's | THE credit bureau for building material suppliers & financial institutions.


Business Report Request Form
The undersigned, desiring to use your services at $50 per Credit Report, agrees to hold Lumbermen’s and all their agents harmless on account of any expense or damage arising or resulting from the publishing or other disclosure on any credit report. Recognizing that information is secured by and through fallible means, the undersigned agrees to release Lumbermen’s and their agents from liability for any negligence in connection with the preparation of any Credit Reports and from any expense suffered resulting from the Report. I authorize Lumbermen’s to obtain my own personal credit report to be used only in conjunction to send it to the proper Licensing Board to obtain a Contractor’s License.

Company Name
Phone Number
Fax Number
Address

City
State
Zip Code
Country
Name of Officer or Owner and Title
Date

Incorporation Date
Federal ID#
Florida Corporate Document #
Contractors License
Officer Name and Title
Social Security #
Officer Name and Title
Social Security #

ADDRESS where Report should be mailed (If different from above) OR Click here if you want to pick it up in our office.
Address

City
State
Zip Code
Country

	back to top