Applicant Disclosure And Release Form - Diocese Of Fort Wayne-South Bend Page 4

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number you can call if you choose to remove your name and address from the lists these offers are
based on. You may opt-out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).
You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of
consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you
may be able to sue in state or federal court.
Identity theft victims and active duty military personnel have additional rights. For more
information, visit
States may enforce the FCRA, and many states have their own consumer reporting laws. In some
cases, you may have more rights under state law. For more information, contact your state or local
consumer protection agency or your state Attorney General. For information about your federal
rights, contact:
TYPE OF BUSINESS:
CONTACT:
1.a. Banks, savings associations, and credit
a. Consumer Financial Protection Bureau, 1700 G Street
unions with total assets of over $10 billion and
NW
their affiliates.
Washington, DC 20552
b. Such affiliates that are not banks, savings
b. Federal Trade Commission: Consumer Response
Center – FCRA, Washington, DC 20580, (877) 382-4357
associations, or credit unions also should list, in
addition to the CFPB:
2. To the extent not included in item 1 above:
a. Office of the Comptroller of the Currency - Customer
Assistance Group, 1301 McKinney Street, Suite 3450
a. National banks, federal savings associations,
Houston, TX 77010-9050
and federal branches and federal agencies of
foreign banks
b. Federal Reserve Consumer Help Center, P.O. Box
1200, Minneapolis, MN 55480
b. State member banks, branches and agencies
of foreign banks (other than federal branches,
c. FDIC Consumer Response Center, 1100 Walnut Street,
federal agencies, and Insured State Branches of
Box #11, Kansas City, MO 64106
Foreign Banks), commercial lending companies
owned or controlled by foreign banks, and
d. National Credit Union Administration - Office of
organizations operating under section 25 or 25A
Consumer Protection (OCP), Division of Consumer
of the Federal Reserve Act
Compliance and Outreach (DCCO), 1775 Duke Street,
Alexandria, VA 22314
c. Nonmember Insured Banks, Insured State
Branches of Foreign Banks, and insured state
savings associations
d. Federal Credit Unions
3. Air carriers
Asst. General Counsel for Aviation Enforcement &
Proceedings, Department of Transportation
1200 New Jersey Avenue, S.E., Washington, DC 20590
4. Creditors Subject to Surface Transportation
Office of Proceedings, Surface Transportation Board,
Board
Department of Transportation, 395 E Street, S.W.,
Washington, DC 20423
5. Creditors Subject to Packers and Stockyards
Nearest Packers and Stockyards Administration area
Act 1921
supervisor
6. Small Business Investment Companies
Associate Deputy Administrator for Capital Access, United
States Small Business Administration, 409 Third Street,
SW, 8th Floor, Washington, DC 20416
7. Brokers and Dealers
Securities and Exchange Commission, 100 F St N.E.,
Washington, DC 20549
8. Federal Land Banks, Federal Land Bank
Farm Credit Administration, 1501 Farm Credit Drive,
Associations, Federal Intermediate Credit Banks,
McLean, VA 22102-5090
and Production Credit Associations
9. Retailers, Finance Companies, and All Other
FTC Regional Office for region in which the creditor
Creditors Not Listed Above
operates or Federal Trade Commission: Consumer
Response Center – FCRA, Washington, DC 20580, (877)
382-4357

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