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I am requesting that you investigate those items indicated, and promptly delete any unverifiable, inaccurate, or outdated information from my credit report.  In addition, I am requesting a description of how the investigation was conducted along with the name, address, and telephone number of anyone contacted for information.

My full name is: _______________________________________________________

My Social Security # is: _________________________________________________

My date of birth is: _____________________________________________________

My home phone number is: ______________________________________________

My address is: ________________________________________________________

City: ______________________________ State: _______ Zip Code: _____________

I have enclosed a copy of my identification as proof of identity.

Please send me an updated copy of my report, and notification that items have been deleted.

Thank you for your prompt attention in this matter.

Sincerely,

________________________________________

(Your Signature)

________________________________________

(Your Name Printed)

REMEMBER:   (1) KEEP A COPY OF THE LETTER AFTER YOU HAVE SIGNED IT

                           (2) MAIL THE LETTER BY CERTIFIED MAIL, RETURN RECEIPT REQUESTED

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