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________________________________________
________________________________________
________________________________________
Date:
___________________
This is a request for you to
reinvestigate the following items which appear
on my credit report:
[ ] The following
personal information about me is
incorrect:
Erroneous
Information Correct
Information
___________________________________________________________
___________________________________________________________
[ ] The following
accounts are not mine:
Creditor's
Name Account
Number Explanation
___________________________________________________________
___________________________________________________________
[ ] The account status
is incorrect for the following
accounts:
Creditor's
Name Account
Number Correct Status
___________________________________________________________
___________________________________________________________
[ ] The following
information is too old to be included in my
report:
Creditor's
Name Account
Number Date of Last Activity
___________________________________________________________
___________________________________________________________
[ ] The following
inquiries are older than two years:
Creditor's
Name Date of
Inquiry
___________________________________________________________
___________________________________________________________
[ ] The following
inquiries were not authorized:
Creditor's
Name Date of
Inquiry Explanation
___________________________________________________________
___________________________________________________________
[ ] The following
accounts were closed by me and should say
so:
Creditor's
Name Account
Number
___________________________________________________________
___________________________________________________________
[ ] Other incorrect
information:
Explanation
___________________________________________________________
___________________________________________________________
I understand that you will
check each item, above, with the credit grantor
reporting the information, and remove any
information the credit grantor cannot verify. I
further understand that under 15 U.S.C. Sec.
1681i(a), you must complete your
reinvestigation within 30 days of receipt of
this letter. Thank you for your attention to
this matter.
Sincerely,
_________________________________________
[your signature]
Name:
________________________
Address: ________________________
________________________
Home
phone: ____________________
Social Security number:
______________
Enclosures: ____[list, if
any]____
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