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Credit Report Request 1
Street address
City, State Zip
Social Security #:
Date of Birth:
Date
Relations Department Name of credit bureau Street address City, State Zip
Dear Sir/Madam:
I was recently denied credit from (creditor name and address or attach a copy of the rejection letter).
Please forward me a copy of my credit report, in accord with section 612 of the
Fair Credit Reporting Act.
Thank you for your cooperation and prompt response.
Sincerely yours,
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