To: Credit Reporting Companies

Re: Request For Credit Report

Dear Credit Reporting Agency:

My application for credit with _____________ has recently been denied.  The denial letter cited my credit record, as reported by your company, as a reason for the denial.

Per federal regulations, I am formally requesting a copy of my credit record to confirm the accuracy of your data.

My personal information are as follows:

Full Name: _______________________________

Social Security Number: _______________________________

Date of Birth: _______________________________

Current Residence: _______________________________

Thank you for your time and prompt assistance. If you need to contact me regarding this credit report request, please call me at ____________________________________.

Sincerely,