Goodwill Letter to Creditor Please enter your full name.* What is the name of the creditor or lender who you owe a debt to?* Please enter the address of the creditor or lender. 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 phone number of the creditor or lender. What type of credit account will this goodwill letter refer to?* Credit card Loan Credit account When did you open your credit card, loan, or credit account?* Please enter the account number associated with the creditor or lender.* Please thoroughly describe your financial hardships or other significant reasons why you were unable to pay your debt and why it should be deleted (e.g., a loss of income, a medical emergency, etc.)* Which credit bureau or credit report would you like to have your collection account to be removed from?* TransUnion Experian Equifax Your Email Address*