Address City State Social Security Number Phone Number GECU reports to the four national credit bureaus listed below Please mark which bureaus report you are disputing Experian Equifax Transu ID: 873921
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1 CREDIT REPORT DISPUTE FORM Name: Date of
CREDIT REPORT DISPUTE FORM Name: Date of Birth: Address: City: State: Social Security Number: Phone Number: GECU reports to the four national credit bureaus listed below. Please mark which bureauÂ’s report you are disputing: Experian Equifax Transunion Innovis ***PLEASE PROVIDE A COPY OF THE CREDIT Please check the appropriate box which best describes the information you believe to be incorrect: This is not my account. I have never paid late. This account is in bankruptcy. This account is closed. I have paid this account in full. I paid this before it went to collection or before it
2 was charged off. I STATE UNDE
was charged off. I STATE UNDER PENALTY OF PERJURY THAT THE STATEMENTS I HAVE MADE ON THIS REQUEST ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.____________________________________ _____________________ Signature Date For Credit Union Use Only Investigation Notes: Employee Name & Number Date Received Investigation Results: Information is accurate Information is not accurate; correction required Dispute determined to be frivolous or irrelevant as per 16 CFR 660.4(f) Responsibility of CRA Other