Letter Date

Credit Bureau Name
Credit Bureau Address

To Whom It May Concern:

According to the Fair Credit Reporting Act Section 611(b), I have the right to enter a “consumer statement” in my credit report. Please include the following “consumer statement” as it pertains to the following item:

Creditor
Account Number

Enter your Statement Here, for example: “On Date, I moved to another address. I notified all my creditors, including Name of Creditor promptly. Name of Creditor was slow in changing my address in its file. Following the move, I did not receive my billing statement for name a period of time. Once I received the statement at my new address, I paid this creditor promptly. I have paid promptly ever since.”

Please send me an updated copy of my credit report with the above statement included.

Sincerely,

Your Name
Your Address