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Privacy "opt out" form letter

Copy and paste the sample below into your word processing application.

 

TO: [COMPANY NAME]
STREET :
ADDRESS:
CITY:
STATE AND ZIP CODE:

ATTN: "OPT OUT" Department

FROM: [FULL NAME]
FULL STREET ADDRESS:
CITY:
STATE AND ZIP CODE:

RE: MY ACCOUNT(S) WITH YOU

ACCOUNT NAME/TYPE ACCOUNT NUMBER








1. I am asserting my rights under the Financial Services Modernization Act and the Fair Credit Reporting Act to "opt out" of the following two uses of my personal information:

a. Please do not share personally identifiable information with nonaffiliated third-party companies or individuals.
b. Please do not disclose my creditworthiness to any affiliate.

2. Further, I request the following, even though it may not be required by law:

a. Please do not disclose my transaction and experience information to any affiliate of yours.
b. Please do not disclose any information about me in connection with marketing agreements between you and any other company.

Thank you for respecting my privacy and honoring my choices regarding my customer information. I would appreciate confirmation from you regarding my requests.

SIGNATURE & DATE:



Source: Privacy Clearinghouse and Junkbusters

-- Updated: April 3, 2003

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