Nominee Release of Authorization

Page |1



NOMINEE’S FULL NAME:



3.



Melanie Lark Turnbull



AUTHORIZATION FOR

RELEASE OF INFORMATION



Carefully read this authorization to release information about you, then sign and date it in ink.



I Authorize an investigator, special agent, or other duly accredited representative of the authorized

Local/Federal agency conducting my background investigation or reinvestigation to obtain any information

relating to my activities from individuals, schools, residential management agents, employers, criminal

justice agencies, credit bureaus, consumer reporting agencies, collection agencies, retailed business

establishments, or other sources of information to include publicly available electronic information. This

information may include but is not limited to my academic, residential, achievement, performance,

attendance, disciplinary, employment history, and criminal history record information.



I understand that, for some sources of information, a separate release will be needed, and I may be contacted

for such a release at a later date.



I Authorize the Social Security Administration (SSA) to verify my Social Security Number (to match my

name, Social Security Number, and date of birth with information in SSA records and provide the results of

the match) to the United States Office of Personnel Management (OPM) or other Federal agency requesting

or conducting my investigation for the purposes outlined above. I authorize SSA to provide explanatory

information to OPM, or to the other Federal agency requesting or conducting my investigation, in the event

of a discrepancy.



I Authorize custodians of records and other sources of information pertaining to me to release such

information upon request of the investigator, special agent, or other duly accredited representative of any

Local/Federal agency authorized above regardless of any previous agreement to the contrary.



I Understand that the information released by records custodians and sources of information is for official

use by the Legislature of the Virgin Islands (Government) only for the purposes provided in this Application

and that it may be disclosed by the Government only as authorized by law.



I hereby consent and authorize the release of information on my character , background, ability, financial

indebtedness and fitness to serve the residents of the United States Virgin Islands by all government

Departments and agencies, especially the Bureau of Internal Revenue, Tax Assessor, Department of

Justice Division of Paternity and Child Support, Board of Education, Economic Development

Authority, U.S. Small Business Administration, Small Business Development Center, Police

Department, Department of Licensing and Consumer Affairs, if applicable, employers, schools, all law

enforcement agencies, and all other individuals and organizations which may be deemed necessary, to

authorized Committee on Rules and Judiciary investigators, its staff and any other authorized employees of

the Virgin Islands Government as may be required.



Photocopies of this authorization with my signature are valid. This authorization is valid for two years from

the date signed.



Last Four (4) Digits of SSN #: G88

Nominee Release of Authorization

Page]2



NOMINFE’S FULL NAME: Melanie Lark Turnbull



AUTHORIZATION FOR



RELEASE OF INFORMATION



Carefully read this authorization to release information about you, then sign and date it in ink.



6. CERTIFICATION:



This document is to certify and affirm that all the statements contained herein and any supporting documents

or schedules or other such supporting documents or schedules executed at a later date as a part or addendum

to this document are true and correct to the best of my knowledge and are made in good faith,



Signed this |USday of OC-t0nar 20 25



Melanie L. Turnbull



Nominee’s Name (Print Clearly)



Sworn and Subscribed before me this _} {t day of i CY par , 2052s



otary P. [seal]



My commission expires: __ Nichole D. Charles

Notary Public

NP-640-23

My Commission Expires: April 21, 2027

St. Thomas/St. Joha, U.S. Virgin Islands



Last Four (4) Digits of SSN #; filial