SAMPLE BASIC CRA DISPUTE

WRITE YOUR CERTIFIED MAIL # HERE

(YOUR NAME)
(ADDRESS)
(CITY, STATE & ZIP)

EXPERIAN (OR OTHER CRA)

PO BOX 9532
ALLEN, TX 75013

DATE:

RE: REQUEST FOR VERIFICATION

To Whom It May Concern,

This is a request for the verification of certain items being reported to my consumer credit report
pursuant to the Fair Credit Reporting Act (FCRA) as amended. I request a “reasonable investigation” within
30 days from the date you receive this dispute pursuant to the FCRA, section 611(a)(1) or the items in
question will be unverifiable and subject to deletion. No extension of time will be necessary since I do not
have any further information that is relevant to this investigation.

Please correct and/or delete the following items:

CREDIT ACCOUNT NAME ACCOUNT # AMOUNT REASON

(ACCOUNT NAME) XXXXXXXXXXXXX $XXXX UNKNOWN ACCOUNT

(ACCOUNT NAME) XXXXXXXXXXXXX $XXXX UNKNOWN ACCOUNT
(ACCOUNT NAME) XXXXXXXXXXXXX $XXXX OBSOLETE
(ACCOUNT NAME) XXXXXXXXXXXXX $XXXX INACCURATE

This request is being sent CERTIFIED MAIL to insure it is processed in a timely manner. Your help
and cooperation is greatly appreciated.

Sincerely,

(Your Name / Sign Above)

P.S. Enclosed are copies of my Social Security Card and Drivers’ License to verify my identity.