Free Report Department
P. O. Box 740241
Atlanta, GA 30374–0241
Re: Request for Credit Report based on denial of Credit
I hereby request a copy of my credit report based upon a denial of credit to me as stated below. This request is made within 60 days of the denial in accordance with the Federal Fair Credit Reporting Act.
Name of Creditor Denying Credit: _____________________________
City, State, Zip: __________________________________________
Date of Denial: __________________________________________
My name, address and phone are below. Please provide the report to me by return mail free of charge.
My Name: ____________________________________________
City, State, Zip: _______________________________________
Phone: ________________ Work Phone: _________________
With kindest regards, I am
Credit Repair Specific Forms
–For Attorney Specific Forms you can download in Word format, go to