Which credit bureau is this being sent to? EquifaxExperianTransUnionOther Which credit bureau is this being sent? What is your name and address? Full name of the person who is disputing the item on their credit report. Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Phone Number Which company is wrongfully listing a debt in your name? This should match the company name exactly as it is written on your credit report. Amount $ Explain why the debt is NOT yours: Provide a full description and make sure to include any supplemental evidence when sending the letter to the credit reporting agency. eSign Would you like to electronically sign this letter? Would you like to electronically sign this letter? Yes (recommended)No Sign and Print Clear Please draw your signature. Print Name Date of this Letter Next Save Save and finish later
