LEGALDOCS - Notice to Correct Credit Report Questionnaire

*Legaldocs is not practicing law, and Legaldocs is not your attorney.
By proceeding further you acknowledge you have READ THIS DISCLAIMER.
This form is for use in the event that your credit report contains wrong information that is adverse to you. It requests that the Credit Reporting Agency change your credit report to reflect the true status of your credit.

To complete this Notice to Correct Credit Report, fill out this form.

INFORMATION ABOUT THE PERSON COMPLETING THIS FORM

Your Full Name:
e-mail Address:
Street Address:
City:
State:
Zip Code:

DEBTOR INFORMATION

Enter the information of the Debtor who is sending the letter.
Debtor's Full Name:
Street Address:
City:
State:
Zip Code:

CREDIT REPORTING AGENCY INFORMATION

Enter the following information about the credit agency that issued the inaccurate report.
Name of Credit Reporting Agency

Enter the address of the Credit Reporting Agency:
Street Address
City
State
Zip Code

INFORMATION REGARDING THE INACCURACY IN YOUR CREDIT REPORT

This section inquires about the inaccuracy or misinformation in your credit report, and the reasons that this information is inaccurate. It is important to be as specific as possible when providing the following information.

Provide the full name of the creditor about whom your credit reflects inaccurate information. For example, your report may reflect that you owe money to a credit card agency or department store, or that you failed to pay your last land lady. In such instances, the credit card agency, department store, or land lady would be your creditor.
Name of Creditor:

Complete this sentence: THE CREDIT REPORT WRONGLY STATES:
(For example: "that the debt to Company XXX has not been paid", OR "that I still owe $$$ to College XXX").
(Do not put a period, or any other punctuation, at the end of your sentence)

State why this information is not accurate.
For example, if your credit report is inaccurate because it reflects that you did not pay a debt which you paid, provide the date and amount of the payment, and the check number. (Do not put a period, or any other punctuation, at the end of your sentence).

Complete this sentence: THIS INFORMATION IS INACCURATE BECAUSE:

Enter the date you want to appear on the letter:

This completes the information input for your Notice to Correct Credit Report. When you Send this Form, this program will prepare a Summary of the Notice to Correct Credit Report for your review. Make sure that all facts stated in the Summary are correct in all respects.


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