Request For Credit Information

To:

RE: Disclosure of Credit Information

By this letter, I hereby request complete disclosure of my personal credit file as held within your agency records. I request that this disclosure provide the names and addresses of any parties who have received a copy of my credit report, and the names and addresses of any parties who have provided information that is contained in my credit report.

Name:

Prior or other Name:_

Address:

Prior or other Address:

Driver's License #

Phone #

Dated:

______________________________

(Signature)

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