Credit Information




Date: ____________________________

To: _____________________________

Re: Name ________________________ Social Security/Account Number: __________________

It has come to my attention that my credit history has been affected negatively by the following information: _____________________________________________________

My 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 all credit requests made on my account. Kindly verify receipt and return the enclosed copy of this letter. Your prompt cooperation is greatly appreciated.






These forms are provided AS IS. They may not be any good. Even if they are good in one jurisdiction, they may not work in another. And the facts of your situation may make these forms inappropriate for you. They are for informational purposes only, and you should consult an attorney before using them.

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