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Request for Information on Credit Denial (Not Agency)


Dear Sir:

This is to acknowledge receipt of your letter of (date)
in which you notified me that my application for credit with
your firm was denied, based on information you had received
from an individual other than a consumer credit reporting
agency.

Pursuant to my rights under federal law, I hereby request
that you disclose the nature of the adverse information
received by you.

Thank you for your cooperation in this matter.

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