CREDIT REPORT DISPUTE FORM

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CREDIT REPORT DISPUTE FORM If you feel there are inaccuracies in your report, you should write directly to the credit bureau (Experian, Trans Union or Equifax) that supplied the information. First, fill out the top part of this form. Then print the creditor name and account number of the item in question in the Creditor column. Also, print the specific reason for your disagreement in the Dispute column. If you have additional information that you believe supports your dispute, include it in the comments column. Finally, sign the sheet in the space marked Signature and mail the entire form to the appropriate credit bureau. We also recommend writing directly to the creditor (bank, department store or other lender) detailing the error and the corrective actions you have taken. First Name________________ Middle___ Last______________________ Jr.____Sr.____ Address_____________________________________________________________________ City/State/Zip _______________________________________________________________ Social Security Number (necessary to access your credit reports) _________________ Signature____________________________________________________________________ CREDITOR DISPUTE COMMENTS Equifax P.O. Box 740256 Atlanta, GA 30374-0256 866-481-8938 www.Equifax.com Experian P.O. Box 2002 Allen, TX 75013 Consumer Relations P.O. Box 1000 Chester, PA 19022 800-888-4213 www.Transunion.com Trans Union 888-397-3742 www.Experian.com IF YOU NEED ADDITIONAL SPACE, USE BLANK SHEETS OF PAPER AND LIST NUMBER OF PAGES BELOW. Page ____ of ______

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