Free credit report dispute form for: Experian, Equifax, and Trans Union.
Date: __________________ File Number: _________________________
Full Name: Last___________________ First ____________________ Middle _______________ Current Address: __________________________________________________________________ Former Address: __________________________________________________________________ Social Security #__________________________ Date of Birth: ___________________________ Home Phone: ____________________________ Work Phone: ___________________________
Spouse Name:______________________________ Spouse Social Security #_________________
Credit Report Dispute / Account Information Dispute Section
Company Name: ____________________________ ___ This is not my account Account # ___________________________ ___ This account was paid in full
___ I have never paid late
___ This account was discharged in my bankruptcy
___ This account is closed
___ I paid this account before it went to collection or was charged off ___ Current status on this account is incorrect ___ Dispute ___ Other
Explanation______________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ******************************************************************************* Company Name: ____________________________ ___ This is not my account Account # ___________________________ ___ This account was paid in full
___ I have never paid late
___ This account was discharged in my bankruptcy
___ This account is closed
___ I paid this account before it went to collection or was charged off ___ Current status on this account is incorrect ___ Dispute ___ Other
Explanation______________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
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Date: __________________
File Number: _________________________
Full Name: Last___________________ First ____________________ Middle _______________ ******************************************************************************* Company Name: ____________________________ ___ This is not my account Account # ___________________________ ___ This account was paid in full
___ I have never paid late
___ This account was discharged in my bankruptcy
___ This account is closed
___ I paid this account before it went to collection or was charged off ___ Current status on this account is incorrect ___ Dispute ___ Other
Explanation______________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
******************************************************************************* Company Name: ____________________________ ___ This is not my account Account # ___________________________ ___ This account was paid in full
___ I have never paid late
___ This account was discharged in my bankruptcy
___ This account is closed
___ I paid this account before it went to collection or was charged off ___ Current status on this account is incorrect ___ Dispute ___ Other
Explanation______________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
******************************************************************************* Company Name: ____________________________ ___ This is not my account Account # ___________________________ ___ This account was paid in full
___ I have never paid late
___ This account was discharged in my bankruptcy
___ This account is closed
___ I paid this account before it went to collection or was charged off ___ Current status on this account is incorrect ___ Dispute ___ Other
Explanation______________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
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Date: __________________
File Number: _________________________
Full Name: Last___________________ First ____________________ Middle _______________ ********************************************************************************
Courthouse or Collection Agency Accounts:
Courthouse or collections agency: _______________________________________________ Case number for courthouse records only: _________________________________________ ___ Not Mine (explain) ___ Discharged ___ Satisfied ___ Released ___ Dismissed
___ Collection was paid
___ Other (explain)
Explanation______________________________________________________________________ ________________________________________________________________________________ ******************************************************************************** Courthouse or collections agency: _______________________________________________ Case number for courthouse records only: _________________________________________ ___ Not Mine (explain) ___ Discharged ___ Satisfied ___ Released ___ Dismissed
___ Collection was paid
___ Other (explain)
Explanation______________________________________________________________________ ________________________________________________________________________________ ******************************************************************************** Courthouse or collections agency: _______________________________________________ Case number for courthouse records only: _________________________________________ ___ Not Mine (explain) ___ Discharged ___ Satisfied ___ Released ___ Dismissed
___ Collection was paid
___ Other (explain)
Explanation______________________________________________________________________ ________________________________________________________________________________ ******************************************************************************** Courthouse or collections agency: _______________________________________________ Case number for courthouse records only: _________________________________________ ___ Not Mine (explain) ___ Discharged ___ Satisfied ___ Released ___ Dismissed
___ Collection was paid
___ Other (explain)
Explanation______________________________________________________________________ ________________________________________________________________________________ 3 PDF created with FinePrint pdfFactory trial version www.pdffactory.com
Date: __________________
File Number: _________________________
Full Name: Last___________________ First ____________________ Middle _______________ ******************************************************************************** Enclosures: (List any items you have enclosed which support your dispute, e.g. copy of a letter showing debt was paid, or copy of bankruptcy. And/or list items enclosed to support your identity and current address, e.g. copy of your driver’s license or passport, or a copy of a credit card bill, bank statement or utility bill to prove your current address.)
________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
I certify that all information above is true and factual.
Signature____________________________________________date__________________
Signature____________________________________________date__________________
I/We are requesting an investigation of our credit report under Section 611 of the Fair Credit Reporting Act, and request all incorrect information be updated, and a corrected copy of a credit report be sent to the requesting individual(s).
Mail this form to: TransUnion Corporation P.O. Box 34012 Fullerton, CA 92834 Attn: Disputes Equifax Information Services P.O. Box 740256 Atlanta, GA 30374 Attn: Disputes Experian P.O. Box 2104 Allen, TX 75013 Attn: Disputes
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