CL Student Loan Wage Garnishment

ChexSystems Removal Letter

Use this when you are in ChexSystems and want to dispute the negative entry.

Date*
MM slash DD slash YYYY
Your Name*
First Middle Last Suffix
Your Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Name of Bank
Date of ChexSystems Negative Entry
MM slash DD slash YYYY
Signature
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Name
This field is for validation purposes and should be left unchanged.