CL Court Verification Letter

Local Court Process Letter

Collection/Charge Off Validation Letter(2)

Use this form when requesting to Validate an account from a collection agency

Date*
MM slash DD slash YYYY
Your Name*
First Middle Last Suffix
Your Social Security Number*
Your Address*
Street Address Address Line 2 City State ZIP Code
Account Number*
Collection Agency Name*
Collection Agency Address*
Street Address Address Line 2 City State ZIP Code
Name of Creditor*
Amount owed*
Signature
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Phone
This field is for validation purposes and should be left unchanged.