Date: Equifax Security Freeze P.O. Box 105788
[Pages:1]Date:
Equifax Security Freeze P.O. Box 105788 Atlanta, GA 30348
Dear Equifax:
I would like to place a security freeze on my credit file.
My name is:
My current address is: Street: City, State, ZIP:
My former address was: Street: City, State, ZIP
My Social Security number is:
My date of birth is:
CHECK ONE: I am an identity theft victim and a copy of my police report is enclosed.
OR I will pay the fee of $__ for placing the freeze by: ____ Enclosed check or money order
____ Credit card (Visa, Master Card, Discover or American Express) _______________________________________ number ________________expiration date
Yours truly,
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