Data Deletion Request

To whom it may concern,

This notice is to inform you that I would I would like to have my personal data deleted from your records.
My contact information is as follows:

Full Legal Name:___________________
Address:______________________________________________
Telephone Number: ______________________________________
Email: ______________________________
The reason I am requesting deletion of my personal data is as follows:

The information that I am specifically aware of, that you process or retain, is as follows:

If you process other personal data that belongs to me, which I may not be aware of, please consider this
request to apply to that data, as well. I would like all of my personal data deleted from your system

Please respond in writing to confirm that my request has been honored.

Sincerely,

Your Signature______________________________

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