home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Your Business Pak
/
BusinessPak2.iso
/
Pca
/
_SETUP.1
/
PERSONR.BLD
< prev
next >
Wrap
Text File
|
1997-07-22
|
4KB
|
138 lines
#100
@001 Enter the name of the credit reporting agency/bureau:
~Enter the name of the credit bureau or other reporting agency.
@002 Enter the street address of the reporting agency/bureau:
~Enter only the street address of the credit agency.
@003 Enter the city, state and zip code of the agency/bureau:
~Enter the city, state and zip code where the credit agency does
~business.
#101 Have you been denied credit within the past 30 days?
~Select yes if you have been denied credit, employment or
~insurance within the last thirty days. "Denial" includes an
~increase in interest rate or other adverse modification.
#if#101
@004 Enter the name of the creditor who denied credit:
~Enter the name of the creditor, employer or insuror who denied
~credit, employment or insurance.
#endif
#102 Have you been denied credit prior to the past 30 days?
~Do not select yes if you have ALSO been denied credit in the
~last 30 days. Select yes if you have been denied credit,
~employment or insurance ONLY within the last thirty days.
~"Denial" includes an increase in interest rate or other adverse
~modification.
#if#102
@040 Enter the name of the creditor who denied credit:
~Enter the name of the creditor, employer or insuror who denied
~you credit, employment or insurance.
#endif
#103 Have you NOT been turned down for credit:
~Select YES if you have not been denied credit, but simply wish
~to see your report.
#104
@105 Enter your full name:
~Enter your first name, middle initial and surname.
@106 Enter your present address (except zip code):
~Enter your present address in full- street, city and state, but
~do not enter the zip code.
@107 Enter your zip code:
~This may be either a 5 or 9 digit zip code:
@108 Enter the length of time at your present work:
~Enter in full the length of time at your present job. For
~example: 3 months or 4 years.
@109 Enter the name of your employer:
~Enter the name of your employer.
@110 Enter your date of birth:
~Enter your date of birth in any convenient format.
@111 Enter your social security number:
~Enter your 9 digit social security number:
#105 Will you be accompanied by another person?
~Select yes if you will be accompanied by another person during
~the disclosure.
#106
#end control section
#100
@001
@002
@003
Dated: ____________________________
Pursuant to the Fair Credit Collection Act and other applicable
laws and regulations, I request full disclosure of the nature and
substance of all information (except medical) on me in your
files, including the sources of the information (except
investigative sources) and a listing of the recipients of any
reports you furnished about me within the last six months (or the
last two years if furnished for employment purposes).
#101
This request is made because of credit, insurance, employment
denied or adversely modified to me within the last 30 days by
@004. This report is required by law to be at no charge.
#102
This request is made because of credit, insurance, employment
denied or adversely modified to me prior to the the last 30 days
by @040. This report is required by law to be at no charge.
#103
This request is not made because of denial of credit.
#104
NAME: @105
PRESENT ADDRESS: @106
ZIP CODE: @107
LENGTH OF TIME AT PRESENT ADDRESS: @108
EMPLOYER: @109
DATE OF BIRTH: @110
SOCIAL SECURITY NUMBER: @111
I understand the credit bureau will inform me in advance of any
charges resulting from this interview for which I am properly
responsible to pay.
I certify under the penalties of perjury and the civil penalty
described that I am the person named above and I understand that
federal law provides that a person who obtains information from a
consumer reporting agency under false pretenses shall be fined
not more than $5,000 or imprisoned not more than one year, or
both.
#105
I authorize the bureau named above to review my credit record
with me in the presence of __________, who has furnished
reasonable identification to the credit bureau.
#106
_______________________________________
@105