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INS0148
LexisNexis® Life Electronic Inspection Report
How to Read October 2014
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LexisNexis® Life Electronic Inspection Report How to Read
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Order Date: 10/20/2014 - 12:25:27 p.m. ETComplete Date: 10/20/2014 - 12:25:27 p.m. ETLexisNexis® Life Electronic Inspection Report
Report for MARK MARSUPIAL
Case ID: 99999Z99999Z999999 Quoteback: 99999Z99999Z999999 Account: 999999Node/Location: Z99999Z99 User ID: Sample Special Billing ID: documReference Number: 99999Z999 Processing Status: Complete
Total Offenses: 1 Total Felonies: 1
Total Bankruptcies: 1
Total Liens & Judgments: 1
Total Properties: 1
Total Certifications: 1
Total Watercrafts Owned: 1
Total Professional Licenses: 1
Total Business Associations: 0
Summary Criminal Offenses
Bankruptcies Liens & Judgments
Properties Owned Aircraft & FAA Certifications
Watercraft Professional Licenses
Concealed Weapons
Hunting & Fishing Licenses
Insurance Solutions
Report Summary
Criminal Offenses
Date of Offense: Probation Status:Type of Offense:
(felony or misdemeanor)
Bankruptcies
Original Filing Date: 03/29/2012 Filing Type: IDischarge Date: 07/17/2012 Liabilities:
Liens & Judgments
Original Filing Date: 03/29/2012 Filing Type:Release Date: Amount of Lien: $7,575,000
Judgment Satisfied Date:
Properties Owned
Assessed Total Value: $557,377 MARKet Total Value: $607,377
Aircraft & FAA Certifications
Aircraft Indicator: YType of Certification: P Certification Expiration Date:
Watercraft
Professional Licenses
License Status: ACTIVE Issue Date: 04/21/2008
UCC Filings
Concealed Weapons
Concealed Weapons: Y
Hunting & Fishing Licenses
License: Y
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Personal Information
Reported Data
Name: MARK MARSUPIALDate of Birth: 10/1983
Gender: MaleSSN: 66657XXXX
Phone: P: F:
Additional Discovered InformationAKA :
(also known as)
Address
Street City, State, Zip
1. 12345 MAIN ST MAIN CITY , GA 12345 - 6789
Criminal Offenses - 1 record(s) found
Case Number: ZZZ9999999ZZZZZ
Case Number: ZZZ9999999ZZZZZ Case Description: COUNTY ORDINANCEDOC Number: Offender Id: 123
Filing Date: 04/16/2008 Status:County of Origin: PINELLAS
Subject Information
Name: MARK MARSUPIAL D Alias:SSN: Address: 13311 MAIN AVE
MAIN CITY, GA 12345-6789Date of Birth: 10/1983 State of Birth:Data Source: Criminal Court State of Origin: Florida
Eyes: Hair:Race: Sex: Male
Height: Weight:Skin: Unique Id: 999999999999
Case Information – 1 of 1
Case Number: Case Type:Case Description: Description:
Offense Date: Offense Type:
Maximum Term: Minimum Term:Number of Counts: 1 Counts:
Incarceration Date:
Court Details
Case Number: ZZZ99999999ZZZZZZCost: Description: COUNTY CRIMINAL, DIVISION: P
Disposition: GUILTY PLEA -FINE PAID $Status:COMPLETED 20080417
Disposition Date: 04/17/2008
Offense: ABANDONED PERMIT Level: COUNTY ORDINANCEFine: Plea:
Statue: Suspended Fine:
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Sentence Details
Sentence: Sentence Date:Description:
Jail: Probation:Court Judgment:
(Adjudication)Suspended:
Arrest Details
Case Number:Arresting Agency: Date: 04/17/2008
Disposition: Disposition Date:Level: Offense:
Statue: Type:
Parole Offenses Information (1 of 1)
Offense Count: Offense Date:Sentence Date: Length:
County:Cause: NCIC Code:
Bankruptcies - 1 record(s) found
1. Bankruptcy Record
Court Name: FLORIDA SOUTHERN - MIAMI Court Code: ZZ999Case Number: 9999999 Original Case#: 9999999
Filing Date: 03/29/2012 Original Filing Date: 03/29/2012Filling Status: Voluntary Filer Type: INDIVIDUAL
Type of Bankruptcy: 7 Original Chapter: 7
Judge Assigned: JOHN DOEDisposition: DISCHARGED Discharge Date: 07/17/2012
Self Represented: No Assets for Unsecured: NoLiabilities: Assets:
Complaints Deadline: Claims Deadline:Exempt:
Debtor
Name: MR MARK MARSUPIALAddress: 1220 MAIN STREET
MAIN CITY, GA 12345-6789Company Name:
Attorney
Name: MICHAEL DAVISAddress: 93351 MAIN HWY
MAIN CITY GA 12345Phone: (555) 555-5555e-mail:
Fax:
89Trustee
Name: JANE DOEAddress: 1000 MAIN HWY
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MAIN CITY, GA 12345-6789Phone: (555) 555-5559e-mail:
Fax:
Meeting Details
Meeting Date: 05/08/2012Meeting Time:
Meeting Location: 51 MAIN AVE
Liens & Judgments - 1 Record(s) Found
Header Information
External Key:Matched Party: IRS Serial Number:
Original Filing Date: 03/29/2012 Original Filing Number:
Original Filing Type: Case Number:
Eviction: N Amount: $7,575,000
Filing Jurisdiction: GA Filing Jurisdiction Name: GEORGIAFiling State: Filing Status:
Certificate Number: Multiple Defendant: true
Judgment Satisfaction Date: Suit Date:Judgment Vacated Date: Released Date:
Legal Lot: Legal Block:Debtors:
Name: MARSUPIAL, MARK Address:Company Name:
Name: DOE, JAMES Address:Company Name:
Name: DOE, JACK Address:Company Name:
Name: DOE, JOE Address:Company Name:
Name: DOE, JEFF Address:Company Name:
Name: DOE, JASON Address:Company Name:
Name: DOE, JUNE Address:Company Name:
Name: JANICE DOE Address:Company Name: JENNIFER DOE LLC
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Properties Owned - 1 record(s) found
1. Parcel Number - 99999999999
Parcel Id: 99999999999 Alternate Parcel#:Type: DEED Source Id: 9Z9999999999
Owner Name(s): MARSUPIAL, MARY Owner Address: 226 MAIN CT MAIN CITY, GA 12345-6789
Address: 226 MAIN CTMAIN CITY, GA 12345
Recording Date: 07/26/2010
Seller’s Name: MARSUPIAL, MARK Seller’s Address:
Property Information
Lot Number: Land Use:Land Value: Land Size:Subdivision: Year Built: 0Total Value: Improvement Value:
Building Size: Building Square Feet:Sale Date: 07/02/2010 Sale Price:Tax Year: 0 Tax Amount:
Market Land Value: Market Improvement Value:Total Market Value: Assessed Value:
Book: 4356 Page: 829
Mortgage Information
Lender: Legal Description:Loan Due Date: Mortgage Amount:Mortgage Term: Mortgage Term Code:Document Type: INTERFAMILY TRANSFER &
DISSOLUTIONDocument Number: 9999999
Transaction Type: Mortgage Loan Type:Leader Name: Title Company: NONE AVAILABLE
Mortgage Deed Type: Mortgage Deed SubType:Interest Rate: Interest Rate Type:Loan Amount: Loan Type:
Property Characteristics
Living Size: FoundationBedrooms: Stories:Full Baths: Half Baths:Basement: Exterior Walls:Roof Type: Air Conditioning:
Heating: Fireplace:
Pool: Garage:Brief Desc.: City Transfer Tax:
County Transfer Tax: Total Transfer Tax:
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Aircrafts - 1 Record(s) Found
Header Information
Registrant Type: Company Name: Name: MARSUPIAL MARK
MARK MARSUPIAL DAddress: 242 MAIN PL
MAIN CITY, GA 12345-6789Unique ID:
Business ID:
Aircraft Information
Status: Historical Aircraft Number: 4783WDate First Seen: 03/01/2002 Date Last Seen: 10/01/2003
Last Update to Record: 01/25/ 2002 Registrant: MARSUPIAL MARK
D MARK MARSUPIAL D
Aircraft Manufacturer Name: COMPANY INTERNATIONAL Aircraft Model Name: 999
Aircraft Model Code: Aircraft Serial Number:Aircraft Year Manufactured: Aircraft Type:
Engine Type: Number of Engines: 1Number of Seat: 4 Category:
Certification: Weight:Cruising Speed: 128
Engine Information
Engine Manufacturer Name: ENGINE MAKER Engine Model Name: ENGINE1Engine Horsepower: 00300 Engine Fuel Consumption: 000000
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FAA Certifications - 1 Record(s) Found
Header Information
Name: MR MARK MARSUPIAL Gender: MaleAddress:: 1220 MAIN STREET
MAIN CITY, GA 12345-6789Record Type: ACTIVE
Class: 2 Date of Medical Certification:
(Pilot Only)08/2012
Certification Type: P Certification Level: CCertification Expiration Date: Type of Certification Pilot
Ratings: C/ASEL C/AMEL C/INSTA C/HEL Certification Type: P Certification Level: P
Certification Expiration Date: Type of Certification PilotRatings: P/ASEL
Certification Type: P Certification Level: PCertification Expiration Date: Type of Certification Pilot
Ratings: P/ASEL P/INSTA Certification Type: P Certification Level: C
Certification Expiration Date: Type of Certification PilotRatings: C/ASEL C/INSTA
Certification Type: P Certification Level: CCertification Expiration Date: Type of Certification Pilot
Ratings: C/ASEL C/AMEL C/INSTA Certification Type: P Certification Level: C
Certification Expiration Date: Type of Certification PilotRatings: C/ASEL C/AMEL C/INSTA P/HEL
Certification Type: P Certification Level: CCertification Expiration Date: Type of Certification Pilot
Ratings: C/ASEL C/AMEL C/INSTA C/HEL Medical Certification Class: 2 Expiration Date
(Medical Certification License):
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Watercraft - 1 record(s) found
Watercraft Key- 999999
Date Last Seen:
Registration Information
Number: Status: EXPIREDOrigin State: US Origin State Name:
Registration Date: Expiration Date: Renewal Date: Decal Number: Previous Plate State:
Owner Information
Unique Id: 99999 Name: MR MARK MARSUPIAL Name Type:
Address: 3151 MAIN RD MAIN CITY, GA 12345-6789
Company Name:
SSN: Date of Birth: FEIN: Gender:
Phone-1: Phone-2:
Vessel Description
Vessel Name: MY BOAT Vessel Type: Vessel Id: 9999999 Database Key:
Hull Number: ZZZ999999999 Hull Type: OTHERParty Id Number: 999999 IMON Number:
Call Sign: Propulsion: UNSPECIFIEDFuel: Use: PLEASURE
Purchased Price: Purchased Date: State Purchased: New or Used: Used
Coast Guard Number: Fleet Id: Dealer:
Vessel’s Characteristics
Make: BIG BOAT Model/Year: /0Class: Length: 384Width: 156 Weight: 24250
Color-1: Color-2: Toilet:
HP Astern: HP Ahead:
Registered Measurements
Gross Tons: 13.0 Net Tons: 11.0Length: Breadth: 156Depth: 60
International Tonnage Convention
Gross Tons: Net Tons: Length: 0 Breadth: 0Depth: 0
Hailing Port Details
Name: MAIN CITY State: GA
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Province: GA
Manufacture’s Information
Shipyard: Year Built: 0Hull Build Address: Complete Build Address:
Title Information
Transaction Type: Type: State: Status:
Number: Issue Date: Signatory:
Engine Details
Lien Holder’s Information
Name: Address: Date:
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Professional Licenses - 1 record(s) found
Personal Information
Name: MR MARK MARSUPIAL Original Name: MARSUPIAL, MARK Additional Original Name: Gender:
Address: 12345 MAIN TRL MAIN CITY, CA 12345-6789
Additional Address:
Date of Birth: Place of Birth:Phone: Additional Phone:Race: SSN:
Professional Information
Occupation: Profession or Board: GENERAL CONTRACTOR INDIVIDUALPractice Hours: 0 Practice Type:
e-mail: Fax:Time zone: Company Name:
License Information
License Number: ZZZ999999 License Type: GENERAL CONTRACTOR INDIVIDUALProvider Number: Sanction Number:
Status: ACTIVE Status Effective Date:Issue Date: 04/21/2008 Expiration Date: 06/30/2014
Source State: California License Obtained By:Board Action Indicator: Date Last Seen: 05/25/2012
Additional Licensing Specs:
Violations
Type: Description:Violation Date: Violation Description:Effective Date: Posting Date:
Status:
Education Details (0 of 0)
School: Degree:Dates Attended: Curriculum
Concealed Weapons - 1 Record(s) Found
Subject Information
Name: MR MARK MARSUPIAL D Address 13311 MAIN AVE MAIN CITY, GA 12345-6789
Occupation: SSN: 66657xxxxSex: Male Race: White
Date of Birth: 10/1983 Permit: Z 9999999State Code: FL State Name: Florida
Permit Number: Z 9999999 Permit Type:Registration Date: Expiration Date: 01/26/2011
Weapon Type
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If you have questions, Contact
LexisNexis Technical Support
P.O. Box 105179
Atlanta, Georgia 30348-5179
Telephone: 1-800-456-6432
Refer Consumers to:
LexisNexis Consumer Center
P.O. Box 105108
Atlanta, Georgia 30348-5108
Telephone: 1-888-497-9215
www.consumerdisclosure.com
Hunting & Fishing Licenses - 1 Record(s) Found
Subject Information
Name: MR MARK MARSUPIAL D Address: 3151 MAIN RD MAIN CITY, GA 12345-6789
Mailing Address:Also Found: 0
License Date: 11/28/2003 Date of Birth: 10/1983 License Number License Type: HuntingLicense State: Florida Home State: Georgia
Occupation: Sex:SSN: 66657XXXX Race:
LexisNexis® Life Electronic Inspection Report System
LexisNexis Risk Solutions
Your FCRA Permissible Use: Use in connection with the underwriting of insurance involving the consumer.
Your DPPA Permissible Use: For use by an insurer, or its agents in connection with rating or underwriting.
Your GLB Permissible Use: A s necessary to effect, administer, or enforce a transaction that a consumer requests or authorizes.
Due to the nature of the origin of public record information, the public records and commercially available data sources used in reports may contain errors. Source data is
sometimes reported or entered inaccurately, processed poorly or incorrectly, and is generally not free from defect. This product or service aggregates and reports data, as
provided by the public records and commercially available data sources, and is not the source of the data, nor is it a comprehensive compilation of the data. Before relying on
any data, it should be independently verified.
FCRA: The federal Fair C redit Reporting A c t (FCRA ) imposes criminal penalties, inc luding a fine, up to two years in prison or both against anyone who knowingly and willfully
obtains information on a consumer from a consumer reporting agency under false pretenses and other penalties pursuant to section 619 of the FCRA , 15 U.S C . 1681, et seq.
for anyone who obtains such consumer information without a permiss ible purpose.
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Introduction Life Electronic Inspection Report is a collection of various public records data pertaining to a life insurance applicant. Life Electronic Inspection Report is a consumer reporting agency product and, as such, may only be accessed in compliance with the Fair Credit Reporting Act, 15 U.S.C. 1681, et seq. This report contains various information including, but not limited to:
• Properties Owned
• Bankruptcies
• Criminal Records
• Water Crafts
• Professional Licenses
• Concealed Weapons
• Liens and Judgments
• Hunting/Fishing Licenses
• Aircrafts and FAA Certifications
• UCC Filings
This report is available solely for use in the underwriting of life insurance applications.
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Report Header Section The Report Header section of the Life Electronic Inspection Report includes information that identifies your specific report.
Case ID: This is a unique identifier for this order.
Quoteback: This is the requesting insurance company's identification code for this report. (It may consist of the applicant's initials, policy number, etc.) A date and time may appear beside the quoteback. This is the date and time the insurance company received the complete report.
Account: Your LexisNexis account number. The company’s name is below the account number.
Node/Location: The node associated with your account.
User ID: The date the report was generated.
Special Billing ID: This identifies the billing information for this order. This field only appears if your account is setup for it.
Reference #: This is your report identification number within the Life Electronic Inspection Report. If you have questions about your report, provide this number to a LexisNexis representative when you call Customer Support.
Processing Status: This indicates the current states of the report.
Report Summary Section The Report Summary section contains an overview of all sections of the report. It will display a brief summary of the information found for the individual.
Personal Information Section The Personal Information section contains the subject's identification information.
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Criminal Offense Section The Criminal Offense section provides information about any criminal offenses that are associated with the subject. The information comes from a public records search and may contain the sections below:
• Case Number
• Subject Information
• Case Information
• Court Details
• Sentence Details
• Arrest Details
• Appeal Details
• Prison Information
• Parole Information
• Parole Offenses
Bankruptcies Section The Bankruptcies section provides detailed information about bankruptcies associated with the subject. The information may contain the sections below:
• Filing Details
• Debtor, Attorney and Trustee Information
• Meeting Details
Liens & Judgments Section The Liens & Judgments section provides information about the liens and judgments that are associated with the subject. The report will contain information specifically related to the lien and/or judgment and where it was filed.
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Properties Section The Properties section provides information about any properties owned by the subject. The information comes from a public records search and may contain the sections below:
• Parcel Number
• Property Information
• Mortgage Information
• Property Characteristics
FAA Certifications Section The FAA Certifications section provides information about any flight certifications that are associated with the subject.
Aircraft Section The Aircraft section provides information about any aircrafts that are associated with the subject. The aircraft information details the type of aircraft as well as the company with which it is associated, if applicable.
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Water Craft Section The Water Craft section provides information about any water crafts that are associated with the subject. The water craft information comes from public records searches and may contain the sections below:
• Watercraft Key
• Registration Information
• Owner Information
• Vessel Description
• Vehicle’s Characteristics
• Registered Measurements
• International Tonnage-Convention
• Hailing Port Details
• Manufacture’s Information
• Title Information
• Engine Details
• Lien Holder’s Information
Professional Licenses Section The Professional Licenses section provides information about any professional licenses that the subject holds. The information comes from a public records search and may contain the sections below:
• Personal Information
• Professional Information
• License Information
• Violations
• Education Details
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UCC Filings Section The UCC Filings section provides information about any UCC filings that the subject filed. The information comes from a public records search and may contain the sections below:
• UCC Information
• UCC Filing Information
• Involved Party information
• UCC Collateral Information
Concealed Weapons Section The Concealed Weapons section provides information about any concealed weapons permits held by the subject.
Hunting & Fishing Licenses Section The Hunting & Fishing Licenses section provides information about permits that the subject has to hunt and/or fish. The section may return information about when the license was granted and the type of license.
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