ࡱ> JYKq` bjbjqPqP .:: 0  0p  $uhv ~ ~ ~   ~   ~  ʞQ  0 S FS S x > , : $^   ~ ~ ~ ~ 000d 000 000  HYOSUNG MOTORS AMERICA INC. 5815 Brook Hollow Pkwy Suite B., Norcross, GA 30071 (T)770 447-5571 (F)770 447-5528 I hereby authorize Hyosung Motors America, Inc. and its designated representatives to conduct a comprehensive review of my background causing a consumer report for purchasing purposes. I understand that the scope of the consumer report may include, but not limited to, the following areas: Verification of social Security Number; current and previous residence; credit history report! I further release Hyosung Motors America, Inc. and its employees, officers, representatives, or related personnel both individually and collectively, from any and all liability from damages of any kind, which may, at any time, result to me, my heirs, my family, or associates because of compliance with this authorization and request to release. FULL NAME: Last Name : ____________________________________________________ First Name : ____________________________________________________ Middle Initial : __________________________________________________ Maiden Name : __________________________________________________ Any other Name (s) Previously Used : ________________________________ ADDRESS: Current Street Address: ____________________________________________ City: _______________________ State: _____________________ Zip Code: _______________________ Phone Number: _______________________________ Fax Number: _________________________________ E-Mail Address : __________________________________________________ Previous Address (Last Five Year) ________________________________________________________________________________________________ Date of Birth : __________________________ Social Security Number: __________________________________ Drivers License Number : __________________________ State : ______________ Expiration Date: _____________ Hyosung Motors America, Inc. shall not violate my right of privacy in any manner by running criminal history or any other background check including verification of the Health & Human Service database for any Medicare exclusion. 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