Reseller Dispute Form (Credit Report)

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Carolina Investigative Research, Inc
106D Fountain Brook Circle
Cary, North Carolina 27511
Reseller Dispute Form (Credit Report)
If you are disputing the consumer disputes the information on the provided credit report, please
fill out this form.
Name _____________________________________________________________________
Address (if less than 2 years, previous address is required)
___________________________________________________________________________
Street Address
City
State
Zip
___________________________________________________________________________
Street Address
City
State
Zip
Phone Number: _____________________________________________________________
Social Security Number _______________________________________________________
Date of Birth _______________________________________________________________
Disputed Inquiry must be within the past 220 days
The completed form must be faxed or mailed to our office. Upon receipt of the Dispute Form, we
will initiate a dispute with the credit bureau and contact you with the results.
Thank you.

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