Credit History Dispute Date: Name and Address of Borrower: Name and Address of Creditor: Regarding Account Number:______________________________ To whom it may concern: I am requesting that you remove the derogatory item appearing on my credit profile, Specifically the__________________, Reported on ___________________. Please provide me a letter of Deletion on the item listed above, to verify that has been permanently removed from my credit history. Sincerely, Your Name and Signature. Cc: Equifax Po Box 105873, Atlanta, Ga. 30348 800-685-1111 Cc: Trans Union 2 Baldwin Place Chester, Pa. 19022 800-888-4213 Cc: Experian Po Box 2002 Allen, Tx. 75013 888-397-3742