REQUEST TO PLACE A FREEZE

REQUEST TO PLACE A SECURITY FREEZE

Please fill out the form below completely and fax back along with the requested information below to (800) 237-6526.

Name:

Street Address:

Apt#:

City, State, Zip Code

Telephone Number:

Social Security Number:

Date of Birth

Signature:

Date:

A legible copy of your government issued identification card containing your address, and A legible copy of your utility bill with your name and current mailing address

By checking this box, I understand that I am requesting the CoreLogic Rental Property Solutions, LLC ("CLRPS") Consumer Relations Dept. to place a freeze on my CLRPS consumer file. By doing so, I understand that no CLRPS client will be able to access my consumer file through the CLRPS system without me contacting the Consumer Relations Department and requesting to remove the freeze.

PLEASE NOTE: CLRPS cannot place, lift or remove a security freeze on your credit bureau report. For assistance in placing a security freeze on your credit bureau file, please contact the credit bureau(s) (Equifax, Experian or TransUnion) directly.

CLRPS-CRA-LTR-Security Freeze Request -110216-V1.1

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