Creditor’s Name
Creditor’s address
Date
Dear Applicant:
Thank you for applying to us for credit. We have given
your request careful consideration, and regret that we are unable
to extend credit to you at this time for the following reasons:
[Insert appropriate reason, such as Value or type of collateral
not sufficient; Lack of established earnings record; Slow or past
due in trade or loan payments]
Sincerely,
NOTICE: The federal Equal Credit
Opportunity Act prohibits creditors from discriminating against credit
applicants on the basis of race, color, religion, national origin,
sex, marital status, age (provided the applicant has the capacity
to enter into a binding contract); because all or part of the applicant’s
income derives from any public assistance program; or because the
applicant has in good faith exercised any right under the Consumer
Credit Protection Act. The federal agency that administers compliance
with this law concerning this creditor is [name and address as specified
by the appropriate agency listed in appendix A].
