1234, Main Street
Boston, MA 02123
04 April, 2005
<Recipient Address Goes Here>
Recently, I was denied credit based upon information provided by your company. I would, therefore, appreciate being furnished with a copy of my credit report. My full name is <your full name, including any other names you have been known by>. My social security number is <SSN>, and my date of birth is <DOB>.
Thank you for your attention to this request. I look forward to receiving the requested information.
encl: <List of enclosed items goes here>