CORRECTION NOTICE CREDIT INFORMATION Date: ____________________________
Name: _____________________________ Company: Address: _________________________ _________________________ _________________________
Re: Social Security/Account Number: ____________________________________
It has come to my attention that my credit history has been affected negatively by the following information: _________________________________________________
My/our records show that the data is incorrect in the following aspects: ____________________________________________________________________ ____________________________________________________________________ Pursuant to the Fair Credit Reporting Act, I ask that you attach this letter to my credit history and that it be included with any response that your company makes to any and all credit requests made on my account. Kindly verify receipt and return the enclosed copy of this letter. Your prompt cooperation is greatly appreciated.
______________________________ Signature