Landlord Association of PA

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Criminal Background Request

Required Fieldname*

Your Name*
Your Phone Number*
Your Fax Number*
Your Email*

Name Requested
First Name*
Middle Name
Last Name*

Address
Street*
City*
State*
Zip*

Other Information
Date of Birth*
Social Security No*
State Requested?*
2nd State Requested
		* Please note - You MUST have a signed release from the applicant for all Criminal requests.
Authorized Signature*		typing your name is the equivalent of your signature

If you are having trouble, please call us at 610-867-8940 or Toll Free at 888-778-2173 or email us at info@landlordassocpa.com