Claim Dispute (Creditor or Collection Agency) - Part 1 Letter 2
This is the letter that you should send a creditor if they respond to your request without providing the correct evidence to support their claim. L-01/02

Your Full Legal Name
Your Legal First Name:

Your Legal Middle Name:

Your Legal Last Name:

Your SSN:


Current Street Address

City

State
Virginia 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 *OUTSIDE UNITED STATES* Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zipcode


Name of Creditor or Collection Agency (as listed on your credit report)


Address of Creditor or Collection Agency (as listed on your credit report)


Account Number (as listed on your credit report)


Deragotory Condition (as listed on your credit report)

Select (Credit Bureau) where this appears.
---Select---EquifaxTransUnion Consumer SolutionsExperian

I accept the Terms and Conditions

By clicking submit, you agree to our terms and conditions.