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.

Social Security Number: Date of Birth:

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:

- -

/ /

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):

Street Name House Number

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

receive):

Equifax

Experian

TransUnion

Shade here if, for security

reasons, you want your credit

report to include no more than

the last four digits of your

Social Security Number.

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.