To Whom it May Concern:

Please consider my request for a Credit Report, as follows:

Name:

Current Address:
Proof of my current address is attached.

Current Telephone Number:

Prev. Addresses in Past Five Years:

My Social Security Number:
My date of birth:
My current employers name and address:
My Spouse's Name:

Thank you for your cooperation.

Sincerely,

Type your name here and sign above your name after printed......

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