________________________________________ ________________________________________ ________________________________________ Date: ___________________
To Whom It May Concern: Please send me a copy of my credit report. Full name: ______________________________________ Date of birth: ____________________________________ Social Security number: ____________________________ Spouse's name: __________________________________ Telephone number: _______________________________ Current address: _________________________________ _______________________________________________ Previous address: ________________________________ _______________________________________________
(Check one:) [ ] I was denied credit on ___________ by __________. Enclosed is a copy of the rejection letter. [ ] I hereby certify that I am unemployed and intend to apply for a job within the next 60 days. [ ] I hereby certify that I receive public assistance/welfare. [ ] I hereby certify that I believe there is erroneous information in my file due to fraud. [ ] I am requesting my annual complimentary credit report. Enclosed is a copy of a document identifying me by my name and address. [ ] I have not been denied credit within the preceding 60 days. Enclosed is a copy of a document identifying me by my name and address and a check for $_______________.
Thank you for your attention to this matter. Sincerely, _______________________________________________ [your signature]