RECORD OF COMPANIES

On this page, list all of the companies you'd like to notify. If you're not sure if a company sent you a privacy/opt-out notice, send that company a notice anyway. If you threw away your notices, simply make a list of all companies who send you any type of financial statements: credit card companies, department stores, banks, insurance company, automobile finance companies. Keep this page as your record.

NAME OF COMPANY ADDRESS Account Number Date Mailed