Adverse Credit Action - Request for Denial Reason by joiceymathew

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									                                ADVERSE CREDIT ACTION

                             REQUEST FOR DENIAL REASON



Date:

To:

From:

On ______________________, I was notified that my credit application dated
_________________, was denied based upon information you received from a source other than
a consumer credit reporting agency. Pursuant to my rights under the Fair Credit Reporting Act,
Title 15, USC, �1681m (b), I request that the nature of the information you received be
disclosed to me. Please send such information to me at the above address.

________________________________

Signature

								
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