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Text File  |  1993-03-16  |  884b  |  36 lines

  1.                                                       YOUR NAME
  2.                                                       ADDRESS
  3.                                                       CITY, STATE  ZIP
  4.     CREDIT BUREAU NAME
  5.     STREET
  6.     CITY, STATE  ZIP
  7.  
  8.     Date:
  9.  
  10.     RE: Request for credit report.
  11.  
  12.     To Whom It May Concern,
  13.  
  14.     Please produce a credit report for the purpose of review and return to:
  15.  
  16.     Name:  Last:           First:           Middle:
  17.  
  18.     Mailing Address:
  19.  
  20.  
  21.     Current Address:
  22.     of Residence:
  23.  
  24.     Previous Address
  25.     of Residence:
  26.  
  27.     Social Security Number:            Date of Birth:
  28.  
  29.     I enclose the fee of            for the above requested credit report.
  30.  
  31.     I certify that I am the person named above and that I am submitting
  32.     this request for my own review.
  33.  
  34.  
  35.     Signed __________________________________
  36.