Letter Form 117L - 1
Identity Theft and the Deceased

This letter form is to be sent to the Three Credit Reporting Agencies to request the information on somebody who is deceased.

NOTE: Only the surviving spouse, someone with power of attorney for the deceased, or the executor of the estate may request this informaiton. For more informaiton on what is required by the three Credit Reporting Agencies please see our Fact Sheet 117.

Experian:
PO Box 9701
Allen, TX 75013

Equifax:
Equifax Information Services LLC
Office of Consumer Affairs
P.O. Box 105169,
Atlanta, GA 30348

TransUnion (TU):
PO Box 6790
Fullerton, CA 92834

CREDIT REPORT REQUEST -

Sent via (include all that apply) email/ fax/ certified return receipt requested mail to:

Name of company:

Address:

Other contact info:

Date of request:

Your Name:

Address:

City/State/Zip:

Phone Number: Daytime- Evening-

Relationship to Deceased:

As the _________________ (relationship to deceased), I am notifying you that the following person died and making the following requests.

Name of deceased:

Date of death:

Date of birth:

Location of birth:

Social Security number of deceased:

Five year address history (most current one first):

____ I request a current copy of (name of deceased)'s credit report be mailed to me at my address listed above.

____ I request that the following notice be placed on (name of deceased)'s credit report:

"Deceased - Do not issue credit."

____ I request that the following notice also be added to the deceased flag:

"If an application is made for credit, notify the following person(s) immediately:. (list the next surviving relative, executor/trustee of the estate and/or local law enforcement agency- noting the relationship)."

Signed:

Note: This request is being sent via certified, return receipt request mail.

Attachments:

____ Death Certificate (or copy) - required

____ Power of Attorney - if necessary

____ Proof that requester is Executor or Trustee of estate - if appropriate

____ Proof of relationship - if necessary