RELEASE FOR PROCUREMENT of CREDIT REPORT



I understand that my credit report and files will be obtained
during the course of a background investigation.


I authorize the procurement of my credit report.

                         (please initial here) _________


___________________________________________ 
Your Signature 

I understand that if I am denied employment based upon the
information provided in my credit file, that, upon request, a 
copy of my Credit Report, and a copy of my rights under the Fair 
Credit Reporting Act will be provided to me.
This release is valid for one (1) year from this date hereon.


___________________________________________ 
Your Signature 


____________________________________________ 
Your Full Name, typed or printed 


____________________________________________ 
Your Address 


____________________________________________ 
Your City                 State     ZIP Code


_______/_____/________ 
Social Security Number 

                                THANK YOU






















Please mail or FAX to:  IBRInc
                        Post Office Box 817
                        New Port Richey, Florida   34656-0817
                        FAX (727)848-7340  

form  3r3a- release of credit   rev 06/18/1999