CREDIT REPORT DISPUTE FORM
TRANS UNION Consumer Relations Center PO Box 390 Springfield PA 19064-0390
EQUIFAX CREDIT INFORMATION SERVICE P.O. Box 105873 Atlanta, GA 30348
EXPERIAN National Consumer Assistance Center PO Box 949 Allen, TX 75002-0949
Name _________________________________________________ Date of Birth _________________________ Address _______________________________________________ Home Phone __________________________ _______________________________________________Work Phone ________________________ Social Security Number ______________________________________________ I dispute the accuracy or completeness of the following items that appear in my file: Signature __________________________________________________________ Date _____________________ Company name _____________________________ Account # ______________________ ____________________________________ Comments
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Thank you for your assistance in investigating the accuracy of this information.