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REQUEST FOR CREDIT REPORT

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					                          REQUEST FOR CREDIT REPORT


Date:


To:




        In accordance with the Federal Fair Credit Reporting Act, I hereby request a full and
complete disclosure of my credit file. This should include both the sources of information on
my file and the names and addresses of all parties who have received my credit report, whether
in writing, orally or by other electronic means.
        I enclose the sum of $               for this report.
        Thank you for your cooperation.


____________________________________                  ___________________________________
Signature                                             Printed Full Name


____________________________________                  ___________________________________
Social Security Number                                Address


____________________________________                  ___________________________________
Telephone Number                                      Prior or Other Names


                                                      ___________________________________
                                                      Prior or Other Addresses




                                             ZZAAAZAZ

				
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posted:6/19/2012
language:English
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