Letter Date

Credit Bureau Name
Credit Bureau Address

RE: Request for removal of outdated entries
ID#: if provided on credit report

Dear Sirs:

According to my rights under the Fair Credit Reporting Act, I am requesting that the outdated entries below be removed, as they pertain to:

Your Name
Your Current Address
Your Social Security Number
Your Date of Birth

Credit Report Date: Date

Outdated entries to be removed:

Creditor
Account Number

Please delete the above items from my credit report, in accords with the policy regarding the length of time such an item may remain on file.

Please return an updated report, showing these items have been removed.

Sincerely,

Your Name
Your Address

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