This request is to include a short statement or explanation of your credit situation with your credit report. The statement must be 100 words or less.
To Whom It May Concern:
Re: 100-WORD STATEMENT REQUEST
In accordance with §611 (b) of the Fair Credit Reporting Act, I am including a 100-word statement to be included with my credit report.
This statement is in reference to Account number and Creditor:
| Creditor Name | Creditor Address / Contact Info | Account Number |
OR, this statement is in reference to my general credit situation.
Please add this statement to my file:
[Select or Highlight this text and type over it. This text box expands as you type into it.]
Please notify me within 30 days once this has been added to my file.
Last four digits of SSN: _____________________________________
Sincerely,