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FORM TO REQUEST COPY OF EXPERIAN CREDIT BUREAU RECORDS


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YOUR NAME

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YOUR ADDRESS

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YOUR CITY, STATE & ZIP CODE

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YOUR TELEPHONE #




EXPERIAN
P O BOX 2002
ALLEN TX 75013
 

RE: Copy of Credit Records
 

Date:  ___________________, 200__
 

To whom it may concern:

Enclosed herewith please find two of the following:

1.  a photocopy of my current drivers license;

2.  a photocopy of my current bank statement;

3.  a photocopy of my current utility bill;

4.  \a telephone bill

showing my name and current address.

4.  A check (in the sum of $9.00 as of 10/04 - subject to change without notice) payable to "Experian" if applicable. (Federal law is in the process of forcing the credit reporting bureaus to give everyone one free credit report per year.  This is being phased in as follows:  on the West Coast in December of 2004, in the Midwest by March 2005, in the South in June 2005 and on the East coast in September of 2005.)

Please forward a copy of my current credit records to me pursuant
to the terms of your offer.

It is my understanding that it takes about 10 - 15 work days to
receive the report. If I am incorrect or if any necessary
information is missing, please notify me accordingly so I may update this information for everyone.

Thanking you in advance for your kind cooperation, I remain,

Very truly yours,

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(SIGNATURE)

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(please print name)

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First Name Middle Name Last Name Jr/Sr/generation

Spouse's Full Name: ___________________________________________

Present home address: ________________________________________
                                            (STREET)

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  (CITY)                                        (STATE)                (ZIP CODE)

Home addresses (INCLUDING APARTMENT NUMBERS AND
ZIP CODES) for last 5 years:

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Social security number: ________-_____-________.

Date of birth: ______-_____-19___
 

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Signature

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Barry Lowe (1951-2006)

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