Spire Group Inc.

General Information

Agent Name*

Email Address*

First Name*

Last Name*

Permanent Address*

City*

State*

Zip Code*

SSN*

Date of Birth*

Cell Phone*

Apartment address you are applying for*

Total amount charged to your card (with the 4% Processing Fee)*

Please reach out to me with information about the following discounted service from the Spire family network:

Moving services

Enter Your Move-In Date*

Credit Card Information

Name on Card *

Card Number *

Expiry Month*

Expiry Year*

CVV*

Billing Address*

Billing Zip Code*

Signature*

I hereby warrant that all statements set forth above are true.

I understand that a consumer report and/or an investigative consumer report may be requested in connection with my prospective or continuing housing and/or employment application through Spire Group Inc. , OPG USA, and its affiliates collectively referred to as "Spire". I understand that these reports may include information concerning my character, employment history, general reputation, personal characteristics, public records information, criminal records information, education, qualifications, motor vehicle record, mode of living, credit and indebtedness information, and any other information which may reflect upon my potential for tenancy or employment gathered from any individual, organization, entity, agency, or another source which may have knowledge concerning any such items of information.

I understand that I have the right to make a written request, within a reasonable period of time, for complete and accurate disclosure of the nature and scope of the investigation requested. I understand that I have the right, upon submitting proper identification, to request from Spire the nature and substance of the information in the consumer report or investigative consumer report, including the sources of information and the recipients of any reports on myself, which Spire has previously obtained about me within a two-year period preceding my request.

I consent to the delivery of all notices or disclosures required by law via any medium so chosen by the property owner or Spire, including but not limited to email or other electronic transmission. I understand that all notices shall be deemed received upon being sent.

By submitting this application, I certify that I have read and fully understand the disclosures and my rights detailed above and authorize Spire to obtain, for the purpose of determining my eligibility for initial or continued tenancy, and/or employment a consumer report and/or investigative consumer report and to disclose all information obtained by Spire to the landlord, its affiliates, and assigns now and in the future. I also certify that I have read and fully understand my rights under the FCRA available at https://files.consumerfinance.gov/f/201504_cfpb_summary_your-rights-under-fcra.pdf

I agree to the statement above and understand that my credit check fee is non-refundable.

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General Information

Please reach out to me with information about the following discounted service from the Spire family network:

Credit Card Information