[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Credit Reporting Agency Name] [Address] [City, State, ZIP Code] Subject: Request for Free Credit Report based on Denial of Credit Dear Sir/Madam, I am writing to you to request a free credit report based on the denial of credit I recently received. I have been informed that my credit application was turned down due to information contained in my credit report. As per the Fair Credit Reporting Act (FCRA) § 612, I have the right to a free copy of my credit report from your agency. Therefore, I kindly request you to provide me with a copy of my credit report at the earliest convenience. To assist you in processing my request accurately, I have provided all the necessary details below: Full Name: [Your Full Name] Date of Birth: [Your Date of Birth] Social Security Number: [Your SSN] Current Address: [Your Current Address] Previous Address (if applicable): [Your Previous Address] Phone Number: [Your Phone Number] Email Address: [Your Email Address] Furthermore, I kindly request you to provide me with a detailed explanation of the adverse information contained in my credit report, including the source of the information used to make the credit decision. This will enable me to review the accuracy and legitimacy of the reported information and take appropriate action to rectify any errors or discrepancies. If you require any further information or documentation to process my request, please let me know as soon as possible. I understand that according to FCRA § 611, you are required to respond to my request within 30 days from the date of receipt. Please send the requested credit report and any additional information to the address provided above or via email to [Your Email Address], as per your convenience. Thank you for your prompt attention to this matter. I appreciate your cooperation and assistance in resolving this issue. I look forward to receiving my credit report promptly. Sincerely, [Your Full Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.