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:: Credit Bureau Report - Sample Credit Report Request

Today's Date

Name of Credit Bureau

Mailing Address of Credit Bureau

City, State, Zip

Attention: Consumer Relations

Please send me a copy of my credit report. Enclosed is a copy of my driver's license and a check (or money order) to cover the fee for a copy of my credit report.

My full name is:_______________________________________________________

My Social Security # is:_________________________________________________

My date of birth is:_____________________________________________________

My home phone number is:______________________________________________

My address is:__________________________ (Ave., St., etc.) APT:____________

City: ______________________________ State:_______ Zip Code:_____________

Previous addresses (last five years):




Any former names credit may be listed under:


Thank you for your prompt attention in this matter.


Signature: ______________________________

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