SKIPSMASHER.COM
ACCOUNT APPLICATION
& SERVICE AGREEMENT

Yes, please sign me up for your free trial! I will receive site access during this time for 60 days and a one-time credit of $50.00 to test premium searches. I understand that only one free trial is allowed per company. I also understand that I may stop using the service at anytime before or after the free trial without further obligation. If I choose to continue, the cost is $11.95 per month (per user license) for site accessed plus the cost of premium searches.

How did you hear about us?   

PROMO CODE:

Were you referred by a current Skip Smasher customer? Please indicate company name and contact: 

COMPANY INFO

You must use your computer to complete application. Then click the "Forward Data" button at the end, print out, sign, notarize and fax in!

COMPANY NAME

COMPANY WEBSITE

Physical (Absolutely NO maildrops!)

Mailing (Please complete fully - do not use "same" )

ADDRESS

 

CITY

STATE

ZIP

ADDRESS

 

CITY

STATE

ZIP

PHONE INFO


PRIMARY PHONE NUMBER

 
 

Is this number a business phone listed with directory assistance?  Yes  No

 

Is this a residential phone line?  Yes  No

 

Is this a cell phone?  Yes  No

 

Is this a VOIP phone number?  Yes  No  If so, which company: 

 

CONTACT INFO

   

FIRST NAME

  LAST NAME 

TITLE

CELL PHONE

 (required)
 

Is this a pre-paid cell phone?  Yes  No

EMAIL

 

BUSINESS INFO

   

STRUCTURE

Corporation/LLC 
Sole Proprietorship 
Partnership

STATE OF

  YEAR FORMED

FEDERAL TAX ID NUMBER

BUSINESS TYPE

You must be one of these business types to be eligible for a Skip Smasher Account! Uncertain? Contact us here. PLEASE NOTE, THESE BUSINESS TYPES ARE NOT ACCEPTABLE: Any Business Type NOT listed above, including: Law Firms; Bail Bond Agencies; Bail Recovery Agents; Car Dealers; Judgment Recovery Companies; Real Estate Management Offices; Real Estate Investors.

           

Company Principals

           

NAME

TITLE

 

SSN

 

NAME

 

TITLE

 

SSN

 

NAME

 

TITLE

 

SSN

 

WARNING: Submission of a false social security number or omission of a social security number will result in automatic rejection of your application and you will not be eligible to re-apply! This is an important part of our customer verification process. Thank you.

Criminal Record Disclosure

Has either the company contact person or the company principals been convicted of any felonies within the past 10 years?

 

Yes

No

 

Has either the company contact person or the company principals been convicted of any misdemeanors within the past 10 years for any of the following types of crimes: stalking, harrassment, theft, fraud, computer hacking, false impersonation or identity theft?

Yes

No

Do any of the company prinicpals or company contact person/s currently have any misdemeanor or felony criminal charges PENDING against them?

 

Yes

No

 

If you answered "yes" to any of the above three criminal history questions, please provide details on a separate sheet and include with your application.

USE OF DATA

Please select each applicable reason that you will be using our data:

Legal Process Service
Insurance Claims Investigation
Locate Missing Persons
Locate Former Employees
Locate Existing Customers
Fraud Prevention
Locate Beneficiaries & Heirs 
Locate Owners of Unclaimed Goods
Repo Vehicles / Equipment
Witness and Victim Locating in a documented criminal or civil action 
Locating Fraud Victims in an active criminal or civil action
For required institutional risk control or for resolving consumer disputes or inquiries

 

 

NUMBER OF USER LICENSES

 

If you have a single user license, only one user will be able to access the system at a time. If you have a three-user license, up to three different users can access at the same time and so on. Cost per user license per month is $11.95 after your free trial period. You will set the number of user licenses when your free trial expires. The free trial period provides a single user license.

 

CHOOSE YOUR USER NAME AND PASSWORD

 

 

   

USERNAME

  8-12 characters (must reflect co. name), no special characters/spaces.

PASSWORD

  8-12 characters including one character, one number, and no special characters/spaces. Cannot contain user name.  

 

 

   

PROOF OF IDENTITY

We also require the following to verify your personal identity:

Driver's License Photo ID (IMPORTANT: A cell phone photo of your drivers license is required. Please email it directly to info[at]skipsmasher.com and we will match it with your application when received. Please note we no longer accept scans or faxes of drivers licenses. Any applications without this will not be processed.)

Notarized signature of a corporate officer or owner on this application

 

PROOF OF BUSINESS

We require two separate forms of proof that applicant is a bona fide business consistent with business type and purpose disclosed above. One of the proofs of business MUST be the official document that shows ownership/registration of your business entity. For most companies, this will be a corp filing or assumed name/fictitious business name or partnership filing.  Please note: An IRS letter showing issuance of an Employer Identification Number is NOT an accepted proof of business as these are freely available upon request.  Please check 2 types of proof and fax with your application. Applications that do not include this will be automatically rejected. Businesses that are less than 6 months old that do not have an occupational license (Example: a P.I. license or repo permit) are subject to possible rejection.

 

Professional License (ie., a Private Investigator's License)

 

Corporation Papers - Either Articles of Incorporation or an official state-issued corporate certificate

 

Fictitious Business Name / Assumed Business Name / Business License Filings

 

Current Professional E&O Policy Declaration Sheet

 

Other Recent Official Documentation:

   

TERMS AND CONDITIONS

I agree to the Terms and Conditions.

AUTHORIZATION AND ACCEPTANCE: I hereby certify that I am fully authorized to execute this Application and Service Agreement on behalf of my company. All information provided by myself in the Application and Service Agreement is true and correct, under the penalty of perjury. I certify on behalf of my company that I agree and accept this Service Agreement in full.

CUSTOMER:

 

Authorized Signature*:

Date:

Printed Name of Authorized Signer:

Company Name:

Title of Authorized Signer:

____________________________________________________

____________________________________________________

on behalf of

* Signer must be a corporate officer or business owner. If large corporation, an executive or manager is acceptable.

APPLICATION NOTARIZATION:

The final step is to have your signature notarized. We understand that having this application notarized is an inconvenience -- and we apologize in advance! Notarization is a requirement of our data providers to insure the proper use of this data. Our data is not available to the public and having your application notarized is one of several safeguards employed against possible misuse of this information. NOTE: Any application received that is not notarized will be automatically rejected.
 
ACKNOWLEDGMENT
 
BE IT RECORDED, THAT ON THIS _____DAY OF __________________, 20___, BEFORE ME, THE UNDERSIGNED notary Public in and for said county and state, personally appeared ________________________________________ known to me to be the same individual described herein and who executed this agreement freely and voluntarily.
 
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal the date and year as written.
 
____________________________________________ (Notary Public)

NOTE: YOUR NOTARY STAMP MUST BE VISIBLE!!!

(Okay to use pencil if necessary to make readable.)

 

 

 

YOUR FINAL 2 STEPS:

1.) We require two forms of business documentation plus a cell phone photo of your state issued drivers license plus the notarized application. (You must email the cell phone photo of your drivers license to info[at]skipsmasher.com -- we will match it to your application when received.) Please print out this application, notarize it and fax it and two forms of proof of business to:

1-888-255-0815

 

Or, BETTER YET you may scan and email your application to info [at] skipsmasher.com. Please note your scan must be a single multi page file in PDF format and 10MB or smaller. Sorry, numerous individual scanned pages/files or ones larger than this cannot be accepted.

 

2.) Click the button below and the contact information on this form will be automatically sent to us. We will hold it until your application is received.

 

After your application has been approved, you will receive an activation email. We typically process applications within 5 business days of receipt. If you do not hear back from us within 5 days of transmitting your application and would like to know the status of your application, please contact us using the contact link on our website.

 

Please note: Due to the volume of applications received, we do not accept phone calls to check on the status of fax applications. The most common reason for delays are incomplete faxes received. If your complete fax does not come through, you will be asked to mail your application. Due to the volume of applications received, we cannot mix and match partial faxes.

 

Thank you.