Lexisnexis Dispute Letter Details

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The listing includes information regarding the lexisnexis file. There, you will discover the specifics of the PDF you would like to fill in, such as the likely time required to complete it and other particulars.

QuestionAnswer
Form NameLexisnexis File
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfull file disclosure, lexisnexis dispute claim form, lexisnexis dispute letter, lexisnexis full sample

Form Preview Example

LexisNexis® Consumer Center

Attn: Full File Disclosure

P.O. Box 105108

Atlanta, GA 303485108

Request for Full File Disclosure

Please Note:

Please provide all information requested, so that we may properly process your order.

You may only order information on yourself, a minor or someone whom you have Power of Attorney over.

You must be 18 years or older to request a file disclosure.

Send the completed order form, identification and address verification documents to the address above.

Section I: Consumer Information

FULL NAME:

Last Name

First Name

Middle Name

Suffix (Sr.,Jr.,III)

ALIAS OR MAIDEN NAME (past 10 years):

Last Name

 

 

First Name

 

Middle Name

Suffix (Sr.,Jr.,III)

Date of Birth:

/

 

 

/

Social Security Number:

 

Month /

 

Day

/ Year

 

 

 

 

 

 

 

 

Driver’s License Number:

 

 

 

 

 

 

Gender: Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State where Driver’s License was issued:

Section II: Address Information

CURRENT ADDRESS:

Apt Number Street Number Street Name

City

State

Zip Code

MAILING ADDRESS:

Apt Number Street Number Street Name

OTHER ADDRESS (past 3 years):

City

State

Zip Code

Apt Number Street Number

Daytime Phone Number: Email Address:

SIGNATURE:

Street Name

City

 

 

Section III: Contact Information

Evening Phone Number:

DATE:

State

Zip Code

Before Mailing, check to ensure you are providing all of the following documents:

This request form, fully completed and signed

Proof of Identity (see letter mailed to you with this form)

Proof of Mailing Address (see letter mailed to you with this form)

Page 3

CD107-11-10h

 

FFD Request Form

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