[l-Date]
To:
[r-Name]
[r-Address]
From:
[s-Name]
[s-Company]
[s-Address]
[s-Phone]
RE: [s-Reference]
Dear [r-FName]:
This is to acknowledge receipt of
your letter dated [s-LetterDate]. You
notified me that my application for credit with your firm was denied based on
information you 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.
Best regards,
[s-Company]
[s-Name]
[s-Title]