________
________

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 ________.

Someone has stolen my identity and used that information to engage in the following type(s) of fraudulent transactions:

-- 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.

Please contact me at the above address if you have any questions or require additional information for any investigation. Thank you for your prompt attention to this matter.

Sincerely,

________