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Annual Credit Report Request Form
   You have the right to get a free copy of your credit file disclosure, commonly called a credit report, once every 12 months, from each of
                         the nationwide consumer credit reporting companies - Equifax, Experian and TransUnion.
                             For instant access to your free credit report, visit www.annualcreditreport.com.
                     For more information on obtaining your free credit report, visit www.annualcreditreport.com or call 877-322-8228.
       Use this form if you prefer to write to request your credit report from any, or all, of the nationwide consumer credit reporting companies. The
                    following information is required to process your request. Omission of any information may delay your request.
                     Once complete, fold (do not staple or tape), place into a #10 envelope, affix required postage and mail to:
                                   Annual Credit Report Request Service P.O. Box 105281 Atlanta, GA 30348-5281.
  Please use a Black or Blue Pen and write your responses in PRINTED CAPITAL LETTERS without touching the sides of the boxes like the examples listed below:



Social Security Number:                                            Date of Birth:

                 -                -                                             /               /
                                                                    Month             Day                   Year
                           Fold Here                                                                                       Fold Here




First Name                                                                                                    M.I.



Last Name                                                                                                                               JR, SR, III, etc.

Current Mailing Address:


House Number                     Street Name



Apartment Number / Private Mailbox                                           For Puerto Rico Only: Print Urbanization Name



City                                                                                                State     ZipCode


Previous Mailing Address (complete only if at current mailing address for less than two years):


House Number                     Street Name
                            Fold Here                                                                                       Fold Here




Apartment Number / Private Mailbox                                           For Puerto Rico Only: Print Urbanization Name



City                                                                                                State     ZipCode

                                               I want a credit report from (shade
                                               each that you would like to                    Shade here if, for security
Shade Circle Like This >                                                                      reasons, you want your credit
                                               receive):
                                                                                              report to include no more than
                                                             Equifax                          the last four digits of your
             Not Like This >
                                                             Experian                         Social Security Number.
                                                             TransUnion

                              If additional information is needed to process your request, the consumer credit
                                                  reporting company will contact you by mail.                                                  31238
                            Your request will be processed within 15 days of receipt and then mailed to you.
                                                            Copyright 2004, Central Source LLC

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Mail indislcosurerequest

  • 1. Annual Credit Report Request Form You have the right to get a free copy of your credit file disclosure, commonly called a credit report, once every 12 months, from each of the nationwide consumer credit reporting companies - Equifax, Experian and TransUnion. For instant access to your free credit report, visit www.annualcreditreport.com. For more information on obtaining your free credit report, visit www.annualcreditreport.com or call 877-322-8228. Use this form if you prefer to write to request your credit report from any, or all, of the nationwide consumer credit reporting companies. The following information is required to process your request. Omission of any information may delay your request. Once complete, fold (do not staple or tape), place into a #10 envelope, affix required postage and mail to: Annual Credit Report Request Service P.O. Box 105281 Atlanta, GA 30348-5281. Please use a Black or Blue Pen and write your responses in PRINTED CAPITAL LETTERS without touching the sides of the boxes like the examples listed below: Social Security Number: Date of Birth: - - / / Month Day Year Fold Here Fold Here First Name M.I. Last Name JR, SR, III, etc. Current Mailing Address: House Number Street Name Apartment Number / Private Mailbox For Puerto Rico Only: Print Urbanization Name City State ZipCode Previous Mailing Address (complete only if at current mailing address for less than two years): House Number Street Name Fold Here Fold Here Apartment Number / Private Mailbox For Puerto Rico Only: Print Urbanization Name City State ZipCode I want a credit report from (shade each that you would like to Shade here if, for security Shade Circle Like This > reasons, you want your credit receive): report to include no more than Equifax the last four digits of your Not Like This > Experian Social Security Number. TransUnion If additional information is needed to process your request, the consumer credit reporting company will contact you by mail. 31238 Your request will be processed within 15 days of receipt and then mailed to you. Copyright 2004, Central Source LLC