[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:  ___________________________________________________
My former address was:  ___________________________________________________
My Social Security number is:       __________________________
My date of birth is:  __________________________

As proof of my current address I am including a copy of my _______________ (current utility bill, or other bill showing your name, current mailing address, and recent date of issue; do not use credit card statements, voided checks, lease agreements, magazine subscriptions or postal service forwarding orders as proof).

[CHOOSE ONE OF THE FOLLOWING REGARDING THE FEE:]
I am an identity theft victim and a copy of my police report or DMV investigative report of identity theft is enclosed. Accordingly, there should be no fee.

OR

I will pay the fee of $___ for placing the freeze by (circle one):

personal check | American Express | Mastercard | VISA | Discover Card

Name of the person as it appears on the credit card:
___________________________
Complete account number: ___________________________
Expiration date (month and year): ___________________________
For American Express - 4 digit Card Identification Number
(on front of card above the account number):     _________
For Mastercard, VISA, or Discover Card - 3 digit Card
Identification Number (on back of card at the end of the account number): _________

Yours truly,

[Date]

Experian Security Freeze
P.O. Box 9554
Allen, TX 75013

Dear Experian:

I would like to place a security freeze on my credit file.

My full name (including middle initial) is: __________________________________
My Social Security number is: ____________________
My date of birth is: ____________________
My current address is: ____________________________________________________
My previous addresses for the previous 2 years were:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

As proof of my identity I am including a copy of my _______________ (driver's license, state ID card, military ID card, or other government issued identification card).

As proof of my current address I am including a copy of a my _______________ (current utility bill, or other bill showing your name, current mailing address, and recent date of issue; do not use credit card statements, voided checks, lease agreements, magazine subscriptions or postal service forwarding orders as proof).

[CHOOSE ONE OF THE FOLLOWING REGARDING THE FEE:]
I am an identity theft victim and a copy of my police report or DMV investigative report of identity theft is enclosed.  Accordingly, there should be no fee.

OR

I will pay the fee of $___ for placing the freeze by (circle one):

personal check | American Express | Mastercard | VISA | Discover Card

Name of the person as it appears on the credit card:  ___________________________
Complete account number: ___________________________
Expiration date (month and year): ___________________________
For American Express - 4 digit Card Identification Number
(on front of card above the account number):     _________
For Mastercard, VISA, or Discover Card - 3 digit Card
Identification Number (on back of card at the end of the account number): _________

Yours truly,

[Date]

TransUnion Security Freeze
P. O. Box 6790
Fullerton, CA 92834

Dear TransUnion:

I would like to place a security freeze on my credit file.

My full name (including middle initial) is: _________________________________
My Social Security number is: ____________________
My date of birth is: ____________________
My current address is: ___________________________________________________
My previous addresses for the previous 2 years were:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

As proof of my identity I am including a copy of my _______________ (driver's license, state ID card, military ID card, or other government issued identification card).

As proof of my current address I am including a copy of a my _______________ (current utility bill, or other bill showing your name, current mailing address, and recent date of issue; do not use credit card statements, voided checks, lease agreements, magazine subscriptions or postal service forwarding orders as proof).

[CHOOSE ONE OF THE FOLLOWING REGARDING THE FEE:]
I am an identity theft victim and a copy of my police report or DMV investigative report of identity theft is enclosed.  Accordingly, there should be no fee.

OR

I will pay the fee of $___ for placing the freeze by (circle one):

American Express | Mastercard | VISA | Discover Card

Name of the person as it appears on the credit card:  ___________________________
Complete account number: ___________________________
Expiration date (month and year): ___________________________

Yours truly,