PLEASE SELECT

CREDIT REPORT COMPANY NAME

CRA REPORT

FIRST NAME

LAST NAME

STREET NO

STREET NAME

CITY

STATE

CREDIT BUREAU & CREDIT BUREAU ADDRESS

DATE OF BIRTH

SSN

ACCOUNT ASPECTS

ACCOUNT DEROGATORY

Report Data#1:

Report Image#1:

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Report Data#2:

Report Image#2:

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Report Data#3:

Report Image#3:

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Report Data#4:

Report Image#4:

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Report Data#5:

Report Image#5:

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Evidence of your Proof of identification
(PNG, JPG,BMP etc. )

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Proof of residence or mailing address
(PNG, JPG,BMP etc. )

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Proof of social security number
(PNG, JPG,BMP etc. )

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Copy of COLLECTION/CHARGE OFF item(s) under challenge as reported on your credit reporting agency’s reports.
(PNG, JPG,BMP etc. )

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Your Notarized Letter/form Here(if needed)
(PNG, JPG,BMP etc. )

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