FORM 3

AUTHORIZATION TO RELEASE INFORMATION FOR CREDIT OR CRIMINAL BACKGROUNDINVESTIGATION

I hereby authorize Li’lAbner’s or its agents to conduct credit or criminal background

investigations including, but not limited to, personal interviews, credit reports, criminal

background investigations and specifically authorize Li’lAbners or its agents to make inquiries,

either written or oral, to any person, organization or agency having knowledge of my conduct

or activities, past or present employers, Credit Bureau, Retail Merchants, Bank, Financial

Institutions or any other credit lending organization or any dept. or agency of a city, county, or

state government, or of the federal government who may have information relevant to these

investigations to disclose it to Li’lAbner’s or to their agents and I release all persons from

liability on account of such disclosure. I hereby further authorize that a photocopy of this

authorization may be considered as valid.

Print Name ___________________________ Date________________

Signature ____________________________

Print Name ___________________________ Date ________________

Signature ____________________________

If you purchase a mobile home inLi’lAbner Mobile Home Park you will be responsible for

correcting any defects in the home or violations of the rules and regulations of the park even if

such defects and violations existed prior to your purchase of the mobile home.