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Upfront
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August 6 , 2003 The credit reporting system is imperfect.
Sometimes erroneous information is Note: The dispute form and instructions are
courtesy of Catherine Coy, a Consumer Dispute And Statement
(Indicate the agency to which your complaint is directed) I dispute the accuracy of
my credit file as revealed to me on [Give Date]. If your investigation does not resolve the
dispute, I hereby file the statement below (Paragraph 2) Credit Grantor:______________________________________________________ Account No.:_______________________________________________________ The disputed portion reads: ______________________________________ __________________________________________________________________ __________________________________________________________________ I maintain that: ________________________________________________ __________________________________________________________________
____________________________________________________________ _________________________________ __________________________________________ _________________________________ _______________________________________ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Instructions for Use of Dispute Form Print a blank version of the form as your master form. Fill in your name, address, and Social Security number on the master form. Make copies of the master
form as needed. You will need as many copies Use one copy of the master
form for each derogatory item showing at Fill in the form as appropriate:
Sign each form in blue ink. Mail the form to those bureaus—and
only those bureaus—that are reporting Include a copy of your drivers license and Social Security card for identification. Use U.S. Post Office "certified mail; return receipt requested."
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