Adverse Action Notice

{Date}

To {Name}

{Address}

{City, State, Zip}

Dear {Recipient},

Thank you for your interest in {Company}. However, I regret to inform you that your application for {employment/purchase/loan/mortgage} is no longer under consideration, due {partially/fully} to the credit rating on your consumer report.

Your consumer report was provided by {Report Company}, and the results and a copy of your rights are attached as dictated by the Fair Credit Reporting Act (FCRA). {Report Company} was not involved in application decisions and cannot supply you with reasons for your application being denied.

You may get a free credit report from {Report Company} if you make the request in the next {number} days. You may also dispute the report if you believe that it is inaccurate or incomplete. {Report Company}'s information is as follows

{Report Company Name}

{Address}

{City}, {State} {Zip}

{Phone}

{Email}

Again, we thank you for your interest and wish you the best of luck.

Sincerely,

{Sender}

{Company}

{Contact Information}