Fillable REQUEST TO PLACE A SECURITY FREEZE Please fill

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REQUEST TO PLACE A SECURITY FREEZE Please fill

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REQUEST TO PLACE A SECURITY FREEZE
Please fill out the form below completely and fax back along with a copy of your government-issued
photo identification to (800) 237-6526.
Name
________
_______________________________
Street Address ______________________________________ Apt # ____________________
City, State, Zip Code __________________________________
Telephone Number ____________________________________
Social Security Number ________________________________
Date of Birth _________________________________________
Signature ____________________________________________ Date ____________________
______ By checking this box, I understand that I am requesting the CoreLogic SafeRent, LLC
Consumer Relations Dept. to place a freeze on my CoreLogic SafeRent, LLC consumer file.
By so
doing, I understand that no CoreLogic SafeRe
nt, ILLC client will be able to access my consumer file
through the CoreLogic SafeRent, LLC system without me contacting the consumer relations
departm
ent and requesting to temporarily
lift or permanently remove the freeze.
PLEASE NOTE: CoreLogic SafeRent cannot place, lift or remove a security freeze on your
credit bureau report. For assistance in placing a security freeze on your credit bureau file, please
contact the credit bureau(s) (Equifax, Experian or TransUnion) directly.
SAFERENTisaregisteredtrademarkofCoreLogic
©2012
REQUEST TO TEMPORARILY LIFT A FREEZE
Please fill out the form below completely and fax back, along with a copy of your government-issued
photo identification to (800) 237-6526.
Name ____
_______
___________________________________
Street Address _______________________________________ Apt # ____________________
City, State, Zip Code __________________________________
Telephone Number ____________________________________
Social Security Number ________________________________
Date of Birth _________________________________________
SafeRent PIN _________________________________________
Signature ____________________________________________ Date ____________________
Please choose one of the options below:
________ I wish to temporarily lift the freeze I placed on my CoreLogic SafeRent, LLC consumer
file for the following period of time: __/ __/__ to : __
/__/__
MM/DD/YR MM/DD/YR
________ I wish to allow the following CoreLogic SafeRent, LLC client view my report:
___________________ (Please be sure that you have entered the name of the client exactly as it appears
in our system).
Please fill out the remainder of the form completely to assure proper processing.
A daytime phone number where I can be reached is __________ ______________.
(
AREA CODE) (PHONE NUMBER )
_______By checking this box, I understand that I am requesting the CoreLogic SafeRent, LLC
Consumer Relations Dept. to temporarily lift the freeze on my CoreLogic SafeRent, LLC consumer
file.
You will receive confirmation from CoreLogic SafeRent, LLC once your freeze has been lifted.
PLEASE NO
TE: CoreLogic SafeRent, LLC cannot place, lift or remove a security fr
eeze on your
credit bureau report. For assistance in placing a security freeze on your credit bureau file, please
contact the credit bureau(s) (Equifax, Experian or TransUnion) directly.
IMPORTANT! DO NOT RETURN THESE FORMS BY EMAIL as this mailbox is not monitored
and such transmissions may not be safe.
SAFERENTisaregisteredtrademarkofCoreLogic
©2012
REQUEST TO PERMANENTLY REMOVE A SECURITY FREEZE
Please fill out the form below completely and fax back along with a copy of your government-issued
photo identification to (800) 237-6526.
Name
________
_______________________________
Street Address ______________________________________ Apt # ____________________
City, State, Zip Code __________________________________
Telephone Number ____________________________________
Social Security Number ________________________________
Date of Birth _________________________________________
SafeRent PIN _________________________________________
Signature ____________________________________________ Date ___________________
Please fill out the remainder of the form completely to assure proper processing.
A daytime phone number where I can be reached is ________________________.
(
AREA CODE) (PHONE NUMBER )
______ By checking this box, I understand that I am requesting the CoreLogic SafeRent, LLC
Consumer Relations Dept. to permanently remove the freeze on my CoreLogic SafeRent, LLC
consumer file. I further understand that CoreLogic SafeRent, LLC may return my consumer to its
clients without receiving a request from me or me providing my PIN.
You will receive confirmation from CoreLogic SafeRent, LLC once your freeze has been lifted.
PLEASE NOTE: CoreLogic SafeRent, LLC cannot place, lift or remove a security freeze on your
credit bureau report. For assistance in placing a security freeze on your credit bureau file, please
contact the credit bureau(s) (Equifax, Experian or TransUnion) directly.
SAFERENTisaregisteredtrademarkofCoreLogic
©2012
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Completed 17 March 2021

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