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Notice of Conditional Acceptance

Based on Credit Report


ient Name]



Your application to rent the property at ___[rental property address]___ has been accepted, conditional on your willingness and ability to: ______


Your rights under the Fair Credit Reporting Act and Fair and Accurate Credit Transactions (FACT) Act of 2003. (15 U.S.C. §§ 1681 and following) require disclosure of the source of information prompting conditional acceptance.

My decision to conditionally accept your application was prompted in whole or in part by:

[ ] Insufficient information in the credit report provided by

___[Credit reporting agency]___

___[Address, phone number, URL]_

[ ] Negative information in the credit report provided by

___[Credit reporting agency]___

___[Address, phone number, URL]_

[ ] The consumer credit reporting agency noted above did not make the decision to offer you this conditional acceptance. It only provided information about your credit history. You have the right to obtain a free copy of your credit report from the consumer credit reporting agency named above, if your request is made within 60 days of this notice or if you have not requested a free copy within the past year. You also have the right to dispute the accuracy or completeness of your credit report. The agency must reinvestigate within a reasonable time, free of charge, and remove or modify inaccurate information. If the reinvestigation does not resolve the dispute to your satisfaction, you may add your own "consumer statement" (up to 100 words) to the report, which must be included (or a clear summary) in future reports.


Date Landlord/Manager

American rental Property owners landlord association