August 19, 2009
[Name of Recipient]
[City, State ZIP Code]
Dear [Name of Recipient]:
I am interested in opening a personal line of credit with [Name of Recipient Company] in the amount of [$______].
The following are the pertinent details of my personal information:
DATE OF BIRTH:
SOCIAL SECURITY NO.:
I herewith grant you permission to access my credit report.
Please let me know if you need any additional information from me in order to evaluate this application. My contact information is at the top of this sheet.
Thank you for your assistance.