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Text File  |  1993-03-16  |  1KB  |  46 lines
  1.                                                       YOUR NAME
  2.                                                       ADDRESS
  3.                                                       CITY, STATE  ZIP
  4.     CREDIT BUREAU NAME
  5.     STREET
  6.     CITY, STATE  ZIP
  7.  
  8.     Date:
  9.  
  10.     RE: Submission of dispute and request for verification.
  11.  
  12.     To Whom It May Concern,
  13.  
  14.     According to my rights under the Fair Credit Act I challenge the
  15.     credit report entry as noted below as it pertains to:
  16.  
  17.     Name:  Last:           First:           Middle:
  18.  
  19.     Mailing Address:
  20.  
  21.  
  22.     Current Address:
  23.     of Residence:
  24.  
  25.     Previous Address
  26.     of Residence:
  27.  
  28.     Social Security Number:            Date of Birth:
  29.  
  30.     Credit Report Date:
  31.  
  32.     Entry I dispute:           issued by
  33.  
  34.  
  35.  
  36.  
  37.     Please return a supplement to the report of the above date stating that
  38.     you have or have not obtained verification as to the accuracy of the
  39.     credit report entry in question.
  40.  
  41.     Should verification not be provided you within 30 days I fully expect
  42.     such entry to be permanently deleted and no mention made of it again
  43.  
  44.  
  45.     Sincerely,
  46.