Credit Dispute Letter to Data Furnisher Please enter the name of the company that furnished the disputed information.* Please enter the address of the company that furnished the disputed information. Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Please enter the account number associated with the disputed information.* Please enter your full name.* Please enter your current address. Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Please enter your date of birth.* What is the Social Security number associated with your account? (This information will not be stored or shared by FinanceJar.) What is your driver’s license number or ID number? (This information will not be stored or shared by FinanceJar.) Which credit bureau do you want to delete the disputed information from your credit report?* TransUnion Experian Equifax What is your credit report number?* Please enter the full name of the account holder specified on your credit report.* Please enter the address of the account holder specified on your credit report.* Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code When was the date of last activity and/or opening date of the account?* Please provide an explanation of the disputed item(s) and corrections you wish to be made.* Please list any additional documentation that you are providing with this credit dispute letter (e.g., proof of address or account payment receipts).* Please enter today’s date.* Your Email Address*
