________
________

Date:____________

Consumer Response Center
Federal Trade Commission
600 Pennsylvania Avenue, N.W.
Washington, DC 20580

Re: FTC Identity Theft Complaint

To Whom It May Concern:

I am notifying the FTC that my identity has been stolen and used for fraudulent purposes. This letter is following up on and confirming the conversation I had with a representative of the FTC on ________ regarding the theft of my identity.

To confirm my identity, my social security number is #________ and my birth date is ________.

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-- Credit card accounts

-- Checking and/or savings accounts

-- Loans

-- Utility accounts

-- Investment accounts

-- Internet and/or email accounts

-- Government documents and/or benefits

-- Additional forms of fraud as follows:

________

The nature of the identity theft incident is as follows:

________

I have suffered the following form(s) of harm and consequences as a result of this identity theft:

-- A civil suit or judgment has been filed against me

-- A criminal investigation, arrest, or conviction against me

-- I was denied bank, investing, credit, or other financial services

-- I was denied a job or lost an existing job

-- I have been pursued by debt collectors and/or creditors

-- ________

I do not have any information about who I believe to be the identity thief.

I have contacted the following credit bureau(s): ________ for the following purpose(s):

-- To inform the credit bureau(s) of the identity theft and to report any resulting fraud

-- To put a fraud alert on my credit report

--To freeze my credit

--To order a credit report

I have contacted the police at the following police department: ________ located in the state of Alabama and filed a police report. A copy of the report is enclosed with this letter.

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Sincerely,

________