Equifax Credit Report Dispute Form

Send this form directly to the credit bureau (Experian, TransUnion or Equifax) that supplied the information.

First, fill out the top part of this form.

Next print the creditor name and account number of the item in question in the Creditor column. Make sure to print the specific reason for your disagreement in the Dispute column. Sign the form in the space marked Signature and mail the form to the appropriate credit bureau.

First Name________ Middle___ Last_____ Jr.____Sr.____

Address__________________________________________

City/State/Zip ______________________________________

Social Security Number (required) ______________________

Signature__________________________________________

CREDITOR

DISPUTE

COMMENTS

Mail this form to: Equifax Information Services, LLC P.O. Box 740256 Atlanta , GA 30374-0256