Sample Credit Report Request
Today's Date

Name of Credit Bureau
Mailing Address of Credit Bureau
City, State, Zip

Attention: Consumer Relations

Please send me a copy of my credit report. Enclosed is a copy of my driver's license
and a check (or money order) to cover the fee for a copy of my credit report.

My full name is:_______________________________________________________

My Social Security # is:_________________________________________________

My date of birth is:_____________________________________________________

My home phone number is:______________________________________________

My address is:__________________________ (Ave., St., etc.) APT:____________

City: ______________________________ State:_______ Zip Code:_____________

Previous addresses (last five years):

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Any former names credit may be listed under:

___________________________________________________________________

Thank you for your prompt attention in this matter.

Sincerely,
Signature: ______________________________