Credit Report Dispute Form

To: _____________________________________________________
Credit Bureau
Re: _____________________________________________________
Your Name
Address: ____________________________________________________
SSN: ____________-_________-___________
Date of Birth: ____/____/____
Home Phone: ( ______ ) __________-______________
Work Phone: ( ______ ) __________-______________
 
I/We dispute the accuracy or completeness of the following items that appear in my/our file. Please investigate the following items and respond to this letter with the results of your inquiry.

Creditor Name Creditor Number Account Number
__________________ ________________________ __________________
__________________ ________________________ __________________
__________________ ________________________ __________________
__________________ ________________________ __________________

Remarks: ________________________________________________________
________________________________________________________
________________________________________________________
 
Thank you for your assistance in investigating the accuracy of this information.
Signature ___________________________________________________
Spouse's Signature ___________________________________________________
(if joint)
Spouse's SSN ____________-_________-___________
(if joint)

National Credit Reporting Agencies

Use the following addresses for your Credit Report Dispute Forms.

TRANS UNION
Consumer Relations Center
P.O. Box 2000
Chester, PA 19022-2000
 
TRW/Experian
National Consumer Assistance Center
P.O. Box 2104
Allen, TX 75013-2104
 
Equifax (CSC) Credit Services
Customer Assistance Center
PO Box 740256
Atlanta, GA 30374-0256

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