Dispute

Dispute a debt

You may use the form below to dispute a debt, forms submitted without complete information will not able to be processed.

Please note that violation fines may not be disputed using this form.

* Indicates required field

Your Name: *

First

Last

Property Address: *

XN (reference #) from letter you received: *

Your Email Address: *

Please enter the amount in dispute: *

Please check all that apply:

I want to dispute the debt because I think: *

This is not my debt. The amount is wrong. Other (please describe in the Additional Information box below). I want you to send me the name and address of the original creditor, I am sending in this amount:

Amount $: *

Additional Information: *

Submit

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