HTML Preview Credit Report Dispute Form page number 1.
Credit Report Dispute Form
Found inaccuracies in your report? If so, use this form to contact the credit bureau (Experian, Equifax, or TransUnion) that
supplied the information. Simply follow the instructions provided, then mail the form to the appropriate credit bureau.
Instructions
1) Write the name and account number of the creditor in question under the Item in Dispute section.
2) Write in the reason for your dispute in the Reason for Dispute section.
3) Sign and mail to the appropriate credit bureau.
1. Contact Information
Name:
___________________________________________________________ Birth Date: _______________________
Address: ___________________________________________________________________________________________
City: ____________________________________________________ State: ________________ Zip: ________________
Social Security Number: ____________________________________ Phone: ___________________________________
2. Dispute Information
Item in Dispute
Creditor:
________________________________________________ Account Number: __________________________
This information is inaccurate because:
m
This is not my account. m I have never paid late.
m
This account is in bankruptcy. m This account is closed.
m
I have paid this account in full. m I paid this before it went to collection or before it was charged off.
m Other:
__________________________________________________________________________________________
Item in Dispute
Creditor:
________________________________________________ Account Number: __________________________
This information is inaccurate because:
m
This is not my account. m I have never paid late.
m
This account is in bankruptcy. m This account is closed.
m
I have paid this account in full. m I paid this before it went to collection or before it was charged off.
m Other:
__________________________________________________________________________________________
Item in Dispute
Creditor:
________________________________________________ Account Number: __________________________
This information is inaccurate because:
m
This is not my account. m I have never paid late.
m
This account is in bankruptcy. m This account is closed.
m
I have paid this account in full. m I paid this before it went to collection or before it was charged off.
m Other:
__________________________________________________________________________________________
3. Sign and Mail
Signature: _____________________________________________________________________ Date: _______________
Mail/call the appropriate
credit bureau.
Experian
Call 1-888-397-3742 or visit
www.experian.com/disputes.
Equifax
P.O. Box 740256
Atlanta, GA 30374
TransUnion
P.O. Box 2000
Chester, PA 19022