Georgia Resident Bi-Annual Credit Report Request Form printable pdf download

Georgia Resident Bi-Annual Credit Report Request Form

If you are a resident of the State of Georgia, you have the right under state law to obtain two (2) free copies of your credit

file disclosure, com m only called a credit report, during each calendar year, from each of the three nationwide consum er

credit reporting com panies - Equifax, Experian and TransUnion.

This is NOT a request under the FACT Act Amendment to the Fair Credit Reporting Act.

In order to exercise your right under Georgia Law to obtain a free copy of your report, you should print clearly and provide

the information below, then mail this form to the appropriate agency at the following addresses:

Equifax Information Services LLC - PO Box 740241 - Atlanta, GA 30374

Experian - PO Box 9600 - Allen, TX 75013

TransUnion LLC - PO Box 1000 - Chester, PA 19022

Social Security Number : _________________________________________________

Date of Birth (MM/DD/YYYY) : ___________________________________________

First Name: __________________________ Middle Initial : __________

Last Name: _________________________________ Suffix ( Jr., Sr., etc.) : ___________

Current Mailing address:

House Number: _________ Street Name: _______________________________________

Apartment Number, if any: _______________________

City: __________________________________ State: _______ Zip: ___________________

Previous Mailing Address (only if at current mailing address for less than two years):

House Number: ________ Street Name: ________________________________________

Apartment Number, if any: ______________________

City: __________________________________ State: _______ Zip: ___________________

I hereby m ake this request for disclosure of m y credit report under the laws of the State of Georgia, and state that I am

eligible to receive this free report. I understand that obtaining a credit report under false pretenses is a federal crim e.

Please m ail the inform ation to m e at the above stated current m ailing address. If additional inform ation is needed to

process this request, please contact m e by m ail.

___________________________________

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Signature

Date

Georgia Resident Bi-Annual Credit Report Request Form