Cancellation of Fraudulent Credit Card Request - Form

________
________
________
________
________

________

________
Attn: Fraud Department / Security Department
________
________

Sent via Certified Mail, Return Receipt Requested
Certified Mail No.: ________

Re: Notice of Fraudulent Account and Request for Closure — Account No. ________

To Whom It May Concern:

§ 1. Purpose. I am writing to notify you that the credit card account identified above was opened and/or used fraudulently, without my authorization, knowledge, or consent, and that I am a victim of identity theft and credit card fraud. This letter constitutes formal written notice of fraud and a request for the actions set forth below.

§ 2. Prior Communication. This letter confirms my conversation with ________ of your organization on ________ concerning the matters described herein.

§ 3. Account Identification. The account at issue is account number ________, issued in or under my name. The fraudulent charges and/or the unauthorized opening of this account total approximately ________.

§ 4. Statement of Facts. The circumstances giving rise to this fraud are as follows:

________

I discovered the fraudulent activity on or about ________. I did not authorize, benefit from, or in any way participate in the opening of this account or the transactions made on it.

§ 5. Supporting Documentation. Enclosed with this letter are copies (not originals) of the following documents evidencing the identity theft, including, where applicable, my completed FTC Identity Theft Report and/or a copy of the police report:

________

The police report referenced above was filed with ________ under Report No. ________, and my FTC Identity Theft Report Reference No. is ________.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit esse cillum dolore eu fugiat nulla pariatur lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim.

1. Immediately close and permanently cancel any and all credit card(s) and lines of credit issued under account number ________;
2. Cease all collection activity on the account and refrain from reporting it to any consumer reporting agency as a valid or delinquent obligation;
3. Remove and permanently delete all charges, fees, finance charges, and interest associated with the fraudulent account, and treat me as having no liability for any transaction resulting from the identity theft;
4. Block and remove all information relating to this account from your records and notify all nationwide consumer reporting agencies (Equifax, Experian, and TransUnion) that this account was opened and/or used fraudulently so that the associated information may be deleted from my credit file;
5. Provide me, free of charge, with copies of all application materials and transaction records related to this account pursuant to 15 U.S.C. § 1681g(e); and
6. Send me written confirmation that the foregoing actions have been completed.

§ 7. Response Deadline. Please acknowledge receipt of this notice and confirm in writing that the account has been closed and the requested corrections made within thirty (30) days of the date of this letter, or within such shorter period as may be required by applicable law.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit esse cillum dolore eu fugiat nulla pariatur lorem ipsum.

§ 9. Contact Information. You may contact me at the address, telephone number, or email address set forth above should you require any additional information.

Thank you for your prompt attention to this important matter.

Sincerely,

____________________________
________

Enclosures: ________