Franchise Application

Background and Credit Check Consent

I understand that as part of the franchise purchase process, Image One Facility Solutions, Inc. (Image One) will make investigative inquiries on my background. The Fair Credit Reporting Act as amended by the Consumer Reporting Reform Act of 1996 requires that we advise you that for purposes of purchase a Consumer Report may be made which may include information about your credit standing and capacity, character, reputation, personal traits, mode of living and other pertinent qualities for franchise ownership purposes including reasons for termination of past employment. Upon written request, information as to the nature and scope of the report will be provided (if one is made) if franchise award has been denied due to information obtained therein. I hereby authorize Image One to conduct background investigations including but not limited to a National Cross Reference of all 50 states showing actual past residences, obtaining a consumer credit report and any other information regarding my driving history and records, criminal history, and credit standing. This release is executed with full knowledge and understanding that the information is for the official use of Image One. A photocopy of this authorization can be accepted with the same authority as the original. If a franchise is awarded, this authorization shall remain on file and shall serve as ongoing authorization for Image One to procure consumer reports at any time during the term of my franchise agreement.