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