[Date]
Credit Reporting Agency/Bureau
City, State, Zip
RE: REQUEST FOR CREDIT REPORT
To Whom It May Concern:
Please send me a copy of my credit report. My identifying information is as follows:
Name:
SS#:
Address:
City, State, Zip:
Birthdates:
Past residences (last five years):
Former Name(s)
Enclosed is $________ as payment for the credit report.
If you have any questions, please contact me at (XXX) XXX-XXXX.
Thank you.
Sincerely,
Bruce Smith
Address
City, State, Zip
Social Security #
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