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Back to Forms for 'Consumer Credit'.





Date:  ____________________________


Name:  _____________________________

Company:          _________________________

Address:            _________________________



Re:  Social 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.







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