[Your Name]

[Your Address]

[Experian, Equifax or TransUnion address]


Attn.: Consumer Relations

Consumer Relations Dept.:

I am requesting with this written notice that the following inaccurate items be removed from my credit report. The items are not correct and are causing me financial distress because of their derogatory information. The items are as follows:

[Account number]
[Rating (e.g., curr was 30, charge off, 90 days, etc.)]
[Reason why it should be removed: i.e., not mine, never late, disputed before yet still remains, incorrect information like payment history, date opened or balance owed.]

I understand you are required to notify me of your investigation results within 30 days.

My contact information is as follows:

[Your name, not signed]

DOB: [Date of birth]

SSN: [Social Security number]

[Your Address]


[Your signature]

[Your printed name]