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Disapproval Of Credit Other Than By Credit Bureau

A demand for disclosure of credit information from an entity other than a credit bureau.

CREDITORS:

ADDRESS:

TELEPHONE:

Dated: _____________

On _____________, 20 _, you notified me that my application for loan credit was denied for reasons based on information received by you from a person other than a consumer reporting agency. accordance with my rights under federal and other laws, I request that the nature of the information received by you be disclosed to me in a timely fashion.

________________________

SIGNATURE (CONSUMER)