HTML Preview Annual Credit Report page number 1.
You have the right to get a free copy of your credit file disclosure, commonly called a credit report, once e very 12 months, from each of
the nationwide consumer credit reporting com panies - Equifax, Experian and TransUnio n.
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 consum
er credit reporting companies. The
following information is required to process your request.
Omission of any information m ay delay your request.
If additional information is needed to process your request, the consumer credit
reporting company will contact you by mail.
Your request will be processed within 15 days of receipt and then mailed to you.
Annual Credit Report Request Form
Once complete, fold (do not staple or tape), place into a #10 envelope, af fix required postage and mail to:
Annual Credit Report Request Service P.O. Box 105281 Atlanta, GA 30348-5281.
Copyright 2004, Central Source LLC
Equifax
Experia n
TransUnion
I want a credit report from (shade
each that you would lik e to
receive):
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.
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Social Security Number:
- -
Date of Birth:
/ /
Month Day
Y
ear
First Name
M.I.
Last Name
JR, SR, III, etc.
Current Mailing Address:
House Number Street Name
City State ZipCode
ZipCode
StateCity
Apartment Number / Private Mailbox
For Puerto Rico Only: Print Urbaniz ation Name
Street NameHouse Number
Previous Mailing Address (complete only if at current mailing address for less than two years):
Fold HereFold Here
Fold Here
Fold Here
Please use a Black or Blue Pen and write your responses in PRINTED CAPITAL LETTERS without touching the sides o f the boxes like the examples listed below:
For Puerto Rico Only: Print Urbaniz ation NameApartment Number / Private Mailbox
31238
A
BCDEF
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z0
1
2345678
9
G-1