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Request for Disclosure of Reasons for Denial of Credit Application Where Action Was Based on Information Not Obtained by Reporting Agency

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Multi-State
Control #:
US-01402BG
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Word; 
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Description Credit Application Form Template

The Fair Credit Reporting Act (FCRA) is designed to help ensure that credit bureaus furnish correct and complete information to businesses to use when evaluating your application. Your rights include:


The right to receive a copy of your credit report. The copy of your report must contain all of the information in your file at the time of your request.


The right to know the name of anyone who received your credit report in the last year for most purposes or in the last two years for employment purposes.


Any company that denies your application must supply the name and address of the credit bureau they contacted, provided the denial was based on information given by the credit bureau.


The right to a free copy of your credit report when your application is denied because of information supplied by the credit bureau. Your request must be made within 60 days of receiving your denial notice.


If you contest the completeness or accuracy of information in your report, you should file a dispute with the credit bureau and with the company that furnished the information to the bureau. Both the credit bureau and the furnisher of information are legally obligated to investigate your dispute.


A right to add a summary explanation to your credit report if your dispute is not resolved to your satisfaction.

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Reasons Application Based Form Blank Other Form Names

Request Denial Application Agency Editable   Request Disclosure Information   Consumer Reporting Agency   Denied Reporting Credit   Disclosure Not Obtained Agency Fill   Reasons Denial Based Form Fillable   Reasons Action Reporting Agency Online  

Request Denial Application Action Complete FAQ

Under the FCRA, consumer reporting agencies are required to provide consumers with the information in their own file upon request, and consumer reporting agencies are not allowed to share information with third parties unless there is a permissible purpose.

A creditor must disclose a consumer's credit score and information relating to a credit score on a risk-based pricing notice when the score of the consumer to whom the creditor extends credit or whose extension of credit is under review is used in setting the material terms of credit.

Give notice of the adverse action; Give the name, address, and telephone number of the credit reporting agency which provided the credit report (the telephone number must be toll free if the agency compiles and maintains consumer files on a nationwide basis);

A statement of action taken by the creditor. Either a statement of the specific reasons for the action taken or a disclosure of the applicant's right to a statement of specific reasons and the name, address, and telephone number of the person or office from which this information can be obtained.

If a lender rejects your application, it's required under the Equal Credit Opportunity Act (ECOA) to tell you the specific reasons your application was rejected or tell you that you have the right to learn the reasons if you ask within 60 days.

ECOA Notice is a disclosure statement that a lender, under certain circumstances, is required to send to a person who requests for an extension of credit.ECOA stands for Equal Credit Opportunity Act and is one of the key fair lending and consumer protection legislation.

Counteroffer: The creditor must notify an applicant of adverse action within 90 days after making a counteroffer unless the applicant expressly accepts or uses the credit during that time. A notification of rejection of credit applied for coupled with counteroffer of credit may be given either in writing or orally.

Under this new rule, lenders must provide consumers with a Risk-Based Pricing notice when a company grants credit on material terms that are materially less favorable than the most favorable terms available to a substantial proportion of the consumers. Lenders include banks, credit unions, mortgage lenders, auto

A statement of action taken by the creditor. Either a statement of the specific reasons for the action taken or a disclosure of the applicant's right to a statement of specific reasons and the name, address, and telephone number of the person or office from which this information can be obtained.

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Request for Disclosure of Reasons for Denial of Credit Application Where Action Was Based on Information Not Obtained by Reporting Agency