Security/Account Number: ____________________________________
It has come to my attention that my credit history
has been affected negatively by the following information:
My/our 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 any and all credit requests made on my
account. Kindly verify receipt and
return the enclosed copy of this letter.
Your prompt cooperation is greatly appreciated.