Phoenix Police Department'S Identity Theft Victim'S Packet Page 10

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Sample Dispute Letter
Date
Your Name
Your Address, City, State, Zip Code
Complaint Department
Name of Company
Address
City, State, Zip Code
Dear Sir or Madam:
I am writing to dispute the following information in my file. I have circled the items I dispute on the attached
copy of the report I received.
This item (identify item(s) disputed by name of source, such as creditors or tax court, and identify type of
item, such as credit account, judgment, etc.) is (inaccurate or incomplete) because (describe what is
inaccurate or incomplete and why). I am requesting that the item be removed (or request another specific
change) to correct the information.
Enclosed are copies of (use this sentence if applicable and describe any enclosed documentation, such as a
police report, Identity Theft Affidavit, payment records, court documents) supporting my position. Please
reinvestigate this (these) matter(s) and (delete or correct) the disputed item(s) as soon as possible.
In addition, pursuant to FACTA..as a victim of identity theft I am requesting that you provide me with copies
of any and all applications and business transaction records related to the fraudulent account(s). The copies
of the records can be (mailed to me at the address listed below or faxed to the number listed below. In
addition, please make these records available to the Phoenix Police Department upon their request.
Sincerely,
Your name
Enclosures: (List what you are enclosing.)

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