First Advantage
P. O. Box *****
Indianapolis, IN 46209-1002
JERRY PAYNE
WINTER HAVEN, FL 33880
Dear JERRY PAYNE :
Pursuant to your request, attached is a copy of your Consumer Report that was requested by: FEDEX GROUND HR PH PDX
1000 FEDEX DR
.
MOON TOWNSHIP,PA,15108-9373
The results of this report are confidential and will not be distributed to any organization other than the one that originally requested it.
The report is not an indication of an acceptance or a rejection of your employment or service. If you have any questions or concerns regarding the Consumer Report or if you do not agree with the accuracy or completeness of the information, you have the right to dispute such information with First Advantage Background Services Corp by contacting: First Advantage, Consumer Disclosure Center
PO Box 105292
Atlanta, GA 30348
Sincerely,
First Advantage
Enclosures: Copy of Consumer Report
Summary of Your Rights under the Fair Credit Reporting Act Background Report
Confidential
JERRY PAYNE
XXX-XX-XXXX
CID - 264986924
FEDEX GROUND HR PH PDX
1000 FEDEX DR
.
MOON TOWNSHIP, PA 15108-9373
If you are a First Advantage
Consumer
Please contact the First Advantage Consumer Center at: 1-800-***-**** Toll Free (within the U.S.)
+1-971-***-**** Toll Number (outside the U.S.)
Or visit http://fadv.com/our-company/contact-support.aspx for local contact details First Advantage Customers Please contact the CHARLOTTE EMPLOYMENT SERVICE CENTER at:
800-***-**** (outside North America +1-971-***-****) Caution to Customer: Under the terms of the service agreement, this report is delivered with the understanding that the recipient client will hold the same in strict confidence and not disclose it to third parties and furthermore is to be used only for the purpose indicated in the Client's agreement for service, i.e. employment/volunteer/or resident/tenant screening purposes. This report and information provided therein is strictly confidential as it contains personal and sensitive information of the consumer/applicant/candidate/employee and must be utilized solely for the business purposes consistent with the declared purpose in the service agreement and is not to be used by the client or third parties for any other purposes. Client agrees to abide and comply with all applicable laws in connection with this report including data privacy, data protection laws and other similar applicable regulations. First Advantage is not the source of the data provided in this report in that the data is collected by First Advantage from third party data sources such as public records held in governmental databases or courthouses, schools, colleges, universities, company officials, or third party proprietary databases etc. Accordingly First Advantage does not warrant the accuracy of the information provided by those third parties and expressly disclaims any and all liability for any and all claimed losses, damages, expenses including attorney fees and costs incurred as a result of reliance upon the content of this report.
For US-based Clients or Clients obtaining reports on US residents: Client certifies that it has complied with the Fair Credit Reporting Act (FCRA) and that it has provided a clear disclosure in compliance with the FCRA to the consumer/applicant/candidate/employee and obtained consent and authorization from the consumer/applicant/candidate employee in order to receive this report. If the client intends to take adverse action based in whole or in part on the contents of this report, the client must provide the consumer with a copy of the report, a summary of consumers rights as prescribed by FCRA section 1681g(c)(3) and a copy of any applicable state law rights, if required before taking any action, wait a reasonable period of time for the consumer to dispute any inaccurate information and then can take adverse action. First Advantage has provided your company with copies of the CFPB Summary of Rights for this purpose.
For California based Clients or Clients obtaining reports on California residents: In California an investigative consumer reporting agency shall provide a consumer seeking to obtain a copy of a report or making a request to review a file, a written notice in simple, plain English and Spanish setting forth the terms and conditions of his or her right to receive all disclosures.
General Consumer Information
Consumer's Name JERRY PAYNE LOCATION LOC_FXG-US/P348 Client Name FEDEX GROUND HR PH
PDX
OPCO FEDEXGROUND
The following consumer information was used in the production of this report: Last Name, First Name, Middle Name, SSN, Date of Birth, Address SSN XXX-XX-XXXX Address 781 BATES AVENUE
SOUTHWEST
WINTER HAVEN, FL 33880
Date of Birth XX/XXX/XXXX
Consumer Contact 863-***-**** Consumer Alternate
Contact
Other Names
Not Provided
Information Regarding this Order:
Position Applied For P25-7264-25 Date Ordered 30/Aug/2023 09:57:13 AM Background Check
Completion Date
31/Aug/2023 11:20:33 AM Report Last Updated
on
31/Aug/2023 11:20:33 AM
Date Report Printed 31/Aug/2023 11:20:52 AM
Self-Disclosed Criminal History
None
Candidate Reference Number
Label Value
Candidate Reference Number 720***********
All timestamps represent US Eastern Time
Note that different elements were searched and completed at different times from the start of the order
- please refer to the timestamp associated with each element. First Advantage Background Report Summary
Consumer's Name JERRY PAYNE Date Ordered: 30/Aug/2023 09:57:13 AM Background Check
Completion Date:
31/Aug/2023 11:20:33 AM
Score Result NSSS mismatch
Package Name: PACKAGE HANDLER PRE-EMP - PO
Package Searches Ordered Status Review Score
Social Security Verification Complete No
Social Security Verification Complete No Pass
First Advantage National Criminal File Complete No First Advantage National Criminal File WINTER HAVEN, POLK, FL Complete No Eligible
County Seat Felony, Misdemeanor Or Other Complete Yes** County Seat Felony, Misdemeanor Or Other WINTER
HAVEN, POLK, FL Complete Yes**
IA required
(DO NOT
USE)**
Global Sanction Search Complete No
First Advantage Global Sanction Search Complete No Eligible Additional Searches Ordered
NONE
* Further review is required by the client to determine the consumer's eligibility based on background check results. Please refer to the corresponding detailed component report section for additional information.
** Further review is required by the client to determine the consumer's eligibility based on background check results. Please refer to the corresponding detailed component report section for additional information.
*** This product has been blocked from delivery due to compliance related restrictions.
Criminal Background Check to be completed after all other elements are completed as per customer's instructions for compliance with NYC Fair Chance Law. Back to top
Social Security Verification Status: Complete
Score: Pass
Date Completed: 30/Aug/2023
The Social Security Number Verification (SSNV) matches the given SSN against consumer credit files contained in the databases of nationwide credit reporting agencies. The credit bureaus' consumer credit files contain information provided by companies with which the consumer has had financial dealings and/or public record information collected by the bureaus from the courts. The SSNV does not verify that the Social Security Administration issued a specific SSN to a consumer. Social Security Verification results and Remarks returned from this search are for informational purposes and should not be relied upon as a basis for determining the eligibility of a consumer for credit, insurance, employment or any other product or service, without additional review with and clarification from the consumer. SOCIAL SECURITY VERIFICATION NAME AND ADDRESS INFORMATION OBTAINED FROM: EXPERIAN Customer Provided Information
SSN XXX-XX-XXXX DOB XX/XXX/XXXX
SSN State Issued SSN Year Issued 1980
Name Type Report Subject Name PAYNE, JERRY LEE
Addr Type Residence Address First Date 10/01/1999 Last 10/01/2001 Address 2224 LEO DR APT C
AUBURNDALE, FL 33823
Addr Type Former Address First Date 09/01/2005 Last 09/01/2005 Address 649 AVENUE A SW APT A
WINTER HAVEN, FL 33880
Addr Type Former Address First Date 07/01/2001 Last 09/01/2005 Address 745 AVENUE A SW APT 712
WINTER HAVEN, FL 33880
Addr Type Former Address First Date 10/01/2005 Last 10/01/2005 Address WINTER HAVEN
WINTER HAVEN, FL 33880
Addr Type Former Address First Date 10/01/1995 Last 05/01/2006 Address 316 BENNETT ST
AUBURNDALE, FL 33823
Addr Type Former Address First Date 05/01/1996 Last 07/01/2006 Address 101 VAUGHN RD
WINTER HAVEN, FL 33880
Addr Type Former Address First Date 11/01/2005 Last 09/01/2006 Address 635 AVENUE B SW
WINTER HAVEN, FL 33880
Addr Type Former Address First Date 04/01/2014 Last 05/01/2014 Address PO BOX 1286
AUBURNDALE, FL 33823
Addr Type Former Address First Date 06/01/2016 Last 10/01/2016 Address 940 7TH ST NW
WINTER HAVEN, FL 33881
Addr Type Former Address First Date 03/01/2018 Last 03/01/2018 Address 503 AVENUE D SE
WINTER HAVEN, FL 33880
Addr Type Former Address First Date 02/01/2007 Last 03/01/2023 Address 781 BATES AVE SW APT 4
WINTER HAVEN, FL 33880
Employment Type ES
Employer Name WILL - PRESS AUTOMOTIVE
Remarks and/or Social Security Alerts
08/30/23: SUBJECT NAME RETURNED MATCHED WITH A DEVELOPED NAME. 08/30/23: NO ALERTS RETURNED FROM SEARCH.
Order Process History
Date Description
30/Aug/2023 09:57:13 AM Search In Progress.
30/Aug/2023 09:57:13 AM Progressive Order Hold.
30/Aug/2023 09:57:14 AM Record Judged.
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First Advantage National Criminal File WINTER HAVEN, POLK, FL Status: Complete Score: Eligible
Date Completed: 30/Aug/2023
Record Source DATABASE SEARCH
Search Results No Record Found
Search Type First Advantage National Criminal File Search Date of Search 08/30/2023
Address Covered 781 BATES AVENUE SOUTHWEST
Address City Covered WINTER HAVEN
Address County Covered POLK
Address State Covered FL
Address Zip 33880
Given Name Searched JERRY PAYNE
Order Process History
Date Description
30/Aug/2023 09:57:13 AM Progressive Order Hold.
30/Aug/2023 09:57:14 AM Record Ordered.
30/Aug/2023 09:59:42 AM Search In Progress.
30/Aug/2023 09:59:42 AM Record Judged.
Back to top
County Seat Felony, Misdemeanor Or Other WINTER
HAVEN, POLK, FL
Status: Complete
Score: IA required (DO NOT USE)**
Date Completed: 31/Aug/2023
Record Source POLK CIRCUIT AND COUNTY COURTS
Search Results Record Found
Search Type FELONY AND MISDEMEANOR RECORD SEARCH - SINGLE LOCATION DUAL INDEX
Date of Search 08/31/2023
Search Period 08/16/2013 - 08/16/2023
Address Covered 781 BATES AVE SW APT 4
Address City Covered WINTER HAVEN
Address County Covered POLK
Address State Covered FL
Location 255 NORTH BROADWAY AVENUE BARTOW POLK COUNTY Given Name Searched JERRY PAYNE
Developed Name Searched JERRY PAYNE
Case Reference # 2004CF00828301
Case Date 30/Nov/2004
Name on File JERRY LE PAYNE
DoB on File XX/XX/XXXX
Charge DEAL STOLEN PROPERTY
Charge Type FELONY
Disposition GUILTY
Disposition Date 06/Jan/2005
Sentence FINE /FEES : UNSPECIFIED.; PROBATION 30 MONTHS (FORMAL ); PROBATION TERMINATED ON 12/21/2006; COMMUNITY SERVICE 50 HOURS Charge GIVE FALSE VERIFICATION TO PAWN BROKER
Charge Type FELONY
Disposition GUILTY
Disposition Date 06/Jan/2005
Sentence PROBATION TERMINATED ON 12/21/2006; COMMUNITY SERVICE 50 HOURS; FINE /FEES : UNSPECIFIED.; PROBATION 30 MONTHS (FORMAL) Source Status History
Status Date Description
30/Aug/2023 09:58:20 AM Search in progress. Estimated completion by 09/01/2023 Remark
08/30/23: THIS SEARCH ALSO COVERS: 940 7TH ST NW, WINTER HAVEN, POLK COUNTY, FL; 503 AVENUE D SE, WINTER HAVEN, POLK COUNTY, FL;
BARTOW, POLK COUNTY, FL;
PO BOX 1286, AUBURNDALE, POLK COUNTY, FL;
781 BATES AVENUE SOUTHWEST, WINTER HAVEN, POLK COUNTY, FL; EAST COLUMBIA STREET, LAKE ALFRED, POLK COUNTY, FL; Order Process History
Date Description
30/Aug/2023 09:57:13 AM Progressive Order Hold.
30/Aug/2023 09:57:14 AM Search In Progress.
30/Aug/2023 09:57:16 AM Search In Progress.
31/Aug/2023 08:19:40 AM Search In Progress.
31/Aug/2023 11:17:54 AM Record Judged.
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First Advantage Global Sanction Search Status: Complete Score: Eligible
Date Completed: 30/Aug/2023
Record Source FIRST ADVANTAGE GLOBAL SANCTIONS DATABASE Search Results No Record Found
Search Type FIRST ADVANTAGE GLOBAL SANCTION SEARCH Date of Search 08/30/2023
Search Period 08/16/2016 - 08/30/2023
Location CONCOURSE PKWY ATLANTA FULTON COUNTY
Given Name Searched JERRY PAYNE
Developed Name Searched JERRY PAYNE
Source Status History
Status Date Description
30/Aug/2023 09:58:20 AM Search in progress. Estimated completion by 08/31/2023 Order Process History
Date Description
30/Aug/2023 09:57:13 AM Progressive Order Hold.
30/Aug/2023 09:57:14 AM Search In Progress.
30/Aug/2023 09:57:16 AM Search In Progress.
30/Aug/2023 03:01:18 PM Search In Progress.
30/Aug/2023 03:01:18 PM Record Judged.
Para informacion en espanol, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, D.C. 20552. A Summary Of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.
You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that provided the information.
You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: a person has taken adverse action against you because of information in your credit report;
you are the victim of identity theft and place a fraud alert in your file; your file contains inaccurate information as a result of fraud; you are on public assistance;
you are unemployed but expect to apply for employment within 60 days. In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. Seewww.consumerfinance.gov/learnmore for additional information. You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures. Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore.
You may limit "prescreened" offers of credit and insurance you get based on information in your credit report. Unsolicited "prescreened" offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at 1-888-***-****.
The following FCRA right applies with respect to nationwide consumer reporting agencies: CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE You have a right to place a "security freeze" on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit. As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer's credit file. Upon seeing a fraud alert display on a consumer's credit file, a business is required to take steps to verify the consumer's identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years.
A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements.
You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. Identity theft victims and active duty military personnel have additional rights. For more information, visit www.consumerfinance.gov/learnmore. States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact:
TYPE OF BUSINESS: CONTACT
1.a. Banks, savings associations, and credit unions with total assets of over $10 billion and their
affiliates.
b. Such affiliates that are not banks, savings
associations, or credit unions also should list, in addition to the CFPB:
a. Consumer Financial Protection Bureau
1700 G Street NW
Washington, DC 20552
b. Federal Trade Commission
Consumer Response Center
600 Pennsylvania Avenue NW
Washington, DC 20580
2. To the extent not included in item 1 above:
a. National banks, federal savings associations,
and federal branches and federal agencies of
foreign banks
b. State member banks, branches and agencies of
foreign banks (other than federal branches, federal agencies, and insured state branches of foreign
banks), commercial lending companies owned or
controlled by foreign banks, and organizations
operating under section 25 or 25A of the Federal
Reserve Act
c. Nonmember Insured Banks, Insured State
Branches of Foreign Banks, and insured state
savings associations
d. Federal Credit Unions
a. Office of the Comptroller of the Currency
Customer Assistance Group
P.O. Box 53570
Houston, TX 77052
b. Federal Reserve Consumer Help Center
P.O. Box 1200
Minneapolis, MN 55480
c. Division of Depositor and Consumer Protection
National Center for Consumer and Depositor
Assistance
Federal Deposit Insurance Corporation
1100 Walnut Street, Box #11
Kansas City, MO 64106
d. National Credit Union Administration
Office of Consumer Financial Protection
1775 Duke Street
Alexandria, VA 22314
3. Air carriers Assistant General Counsel for Office of Aviation Protection
Department of Transportation
1200 New Jersey Avenue SE
Washington, DC 20590
4. Creditors Subject to Surface Transportation
Board
Office of Public Assistance, Governmental Affairs, and Compliance
Surface Transportation Board
395 E Street SW
Washington, DC 20423
5. Creditors Subject to Packers and Stockyards Act, 1921
Nearest Packers and Stockyards Division Regional
Office
6. Small Business Investment Companies Associate Administrator, Office of Capital Access United States Small Business Administration
409 Third Street SW, Suite 8200
Washington, DC 20416
7. Brokers and Dealers Securities and Exchange Commission 100 F Street NE
Washington, DC 20549
8. Institutions that are members of the Farm Credit System
Farm Credit Administration
1501 Farm Credit Drive
McLean, VA 22102-5090
9. Retailers, Finance Companies, and All Other
Creditors Not Listed Above
Federal Trade Commission
Consumer Response Center
600 Pennsylvania Avenue NW
Washington, DC 20580
For Florida Residents:
Florida File Freeze Information:
Florida Security Freeze Notice
(a) You have a right to place a "security freeze" on your consumer report, which will prohibit a consumer reporting agency from releasing any information in your consumer report without your express authorization. A security freeze must be requested in writing by certified mail to a consumer reporting agency. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent.
(b) YOU SHOULD BE AWARE THAT USING A SECURITY FREEZE TO CONTROL ACCESS TO THE PERSONAL AND FINANCIAL INFORMATION IN YOUR CONSUMER REPORT MAY DELAY, INTERFERE WITH, OR PROHIBIT THE TIMELY APPROVAL OF ANY SUBSEQUENT REQUEST OR APPLICATION YOU MAKE REGARDING A NEW LOAN, CREDIT, MORTGAGE, INSURANCE, GOVERNMENT SERVICES OR PAYMENTS, RENTAL HOUSING, EMPLOYMENT, INVESTMENT, LICENSE, CELLULAR PHONE, UTILITIES, DIGITAL SIGNATURE, INTERNET CREDIT CARD TRANSACTION, OR OTHER SERVICES, INCLUDING AN EXTENSION OF CREDIT AT POINT OF SALE.
(c) When you place a security freeze on your consumer report, you will be provided a personal identification number or password to use if you choose to remove the freeze on your consumer report or authorize the release of your consumer report for a designated period of time after the security freeze is in place. To provide that authorization, you must contact the consumer reporting agency and provide all of the following:
1. The personal identification number or password. 2. Proper identification to verify your identity.
3. Information specifying the period of time for which the report shall be made available.
(d) A consumer reporting agency must authorize the release of your consumer report no later than 3 business days after receiving the above information.
(e) A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account, that requests information in your consumer report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements.
(f) You have the right to bring a civil action against anyone, including a consumer reporting agency, who fails to comply with the provisions of s. 501.005, Florida Statutes, which governs the placing of a consumer report security freeze on your consumer report.