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Annual Credit Report Request Template 2

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Annual Credit Report Request Template 2
Annual Credit Report Request Template 2
Fill out your personal
information
*Optional
Current Address
Previous Address
Request for Your TransUnion Personal Credit Report
First Name
Determine if you
qualify for a FREE
Personal Credit Report
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Name of Employer* Your eMail Address*
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Street Address Apt. No.
Previous Address Apt. No.
City Zip CodeState
Zip CodeStateCity
If a military address,
write APO or FPO for
city and one of these
abbreviations for state:
AA Armed Forces Americas
AE Armed Forces
Africa, Canada,
Europe or Middle East
AP Armed Forces Pacific
If you have moved
in the past two years,
please enter your
previous address.
For items 1-5, a TransUnion
credit file must have
been the basis for the
adverse credit decision.
You may be eligible for a
Free Annual Reports and
TransUnion Reports are accessible
to the Vision Impaired. On-line
reports are compatible with
screen readers. Accessible
formats can be requested by
telephone or by mail; please
specify Braille, audio or large print.
FREE Personal Credit Report
under the Federal FACT Act.
For information, please visit
www.annualcreditreport.com
Name of Credit Generator Date of Denial Letter
1. Within the last 60 days, I was denied credit or was notified of another credit-related adverse action.
2. Within the last 60 days, I was denied employment - By Whom
3. Within the last 60 days, I was denied insurance - By Whom
4. Within the last 60 days, I was denied a government license or benefit - By Whom
5. Within the last 60 days, I was denied a housing/rental apartment - By Wh
om
Company's Phone Number
Company Worked for Last
Company's Address
6. I am unemployed and intend to apply for employment (limited to 1 free report per 12 mos.)
Phone Number for Case Worker
Welfare Office I am Registered With
Name of Case Worker
7. I am a recipient of public welfare assistance (limited to 1 free report per 12 mos.)
8. I certify that I have reason to believe that my TransUnion credit file contains inaccurate data due to fraud.
9. None of the above apply to me. Please check the next page for pricing.
STEP 1
STEP 2
Annual Credit Report Request Template 2
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