YOUR COMPANY NAME
Your street
City, ST Zip
(123) 456-7890

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Date: March 15, 2011

To: Your customer

From: Your Name, President

Re: Risk Based Pricing: Your Credit Report and the Price You Pay for Credit

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[To the NoteSmith customer: This is a sample form from the Federal Reserve Board. It must be modified for your specific use before giving to a customer.]

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What is a credit report?
A credit report is a record of your credit history. It includes information about whether you pay your bills on time and how much you owe to creditors.

How did we use your credit report?
We used information from your credit report to set the terms of the credit we are offering you, such as the [APR/Down Payment]. The terms offered to you may be less favorable than the terms offered to consumers who have better credit histories.

What if there are mistakes in your credit report?
You have a right to dispute any inaccurate information in your credit report. If you find mistakes on your credit report, contact [insert name of Credit Reporting Agency], which is the agency from which we obtained your credit report. It is a good idea to check your credit report to make sure the information it contains is accurate.

How can you obtain a copy of your credit report?
Under federal law, you have the right to obtain a copy of your credit report without charge for 60 days after you receive this notice. To obtain your free report, contact [insert name of CRA]:
By telephone: Call toll-free: 1-800-nnn-nnnn
By mail: Mail your written request to: [Insert address]
On the web: Visit [insert web site address]

How can you get more information about credit reports?
For more information about credit reports and your rights under federal law, visit the Federal Reserve Board web site at www.federalreserve.gov or the Federal Trade Commission web site at www.ftc.gov.
