Individual Charge Account Denial

COMPANY LETTERHEAD

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

DATE

{{date}}

APPLICANT INFORMATION

{{applicant_name}}

{{applicant_address}}

SUBJECT: DENIAL OF INDIVIDUAL CHARGE ACCOUNT APPLICATION

Dear {{applicant_name}},

We regret to inform you that your application for an individual charge account with {{company_name}}, submitted on or about {{application_date}}, has been denied.

REASONS FOR DENIAL

Our decision is based on a review of information obtained from your application and, where applicable, from a credit reporting agency.

The primary reason(s) for this denial are (please mark all that apply):

[ ] Insufficient credit history

[ ] Unsatisfactory credit references

[ ] Excessive existing debt obligations

[ ] Irregularity of income

[ ] Insufficient income

[ ] Delinquent payment history on other accounts

[ ] Information contained in your credit report (details below)

[ ] Other (please specify): {{other_reason_for_denial}}

CREDIT REPORTING AGENCY INFORMATION (IF APPLICABLE)

If our decision was influenced by information in a report from a credit reporting agency, you have the right to obtain a free copy of your credit report from the agency within 60 days of receiving this notice. You may also dispute the accuracy or completeness of any information in your credit report by contacting the agency directly.

The credit reporting agency used was:

Name: {{credit_agency_name}}

Address: {{credit_agency_address}}

Contact Number: {{credit_agency_phone}}

RECONSIDERATION

We understand that this news may be disappointing. If you believe there has been an error or if there are extenuating circumstances you would like us to consider, please contact us within {{reconsideration_period_days}} days of the date of this letter to discuss your application further. Please provide any additional information or documentation you believe may be relevant to a reconsideration of your application.

CONTACT INFORMATION

Should you have any questions regarding this decision, please do not hesitate to contact our Credit Department at {{contact_phone_number}} or via email at {{contact_email_address}}.

SIGNATURE BLOCK

Sincerely,

{{authorized_signatory_name}}

{{authorized_signatory_title}}

{{company_name}}