Experian Security Freeze
P.O. Box 9554
Allen, TX 75013
Date: __________________________
Dear Experian:
I would like to place a security freeze on my credit file. My name is:
_______________________________________________
My date of birth is:
_____________________________
My social security number is:
_____________________________
My current address is:
_______________________________________________
_______________________________________________
Previous addresses and dates if at current address for less than two years.
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Credit card information (if applicable).
Please charge the $________ fee to the following credit card:
name on card - _______________________________________________
type - ________________________________________ (Visa, MasterCard,
Discover, AMEX)
number - ______________________________________
exp. date - ___________________________________
Yours truly,
Enclosures:
copy of driver's license, state or military ID
copy of current utility bill, bank statement or insurance statement
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