File A Dispute/Complaint
What type of debt?
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Auto
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Commercial
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Credit Card
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Federal Student Loan
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I do not know
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Medical
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Mortgage
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Non-Federal Student Loan
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Other(phone,health,club,etc)
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Payday Loans
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Type of Event
--Select--
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Cease & desist
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Communication tactics
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Continued attempts to collect debt I do not owe
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Credit Bureau Dispute
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Cross Complaint
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Disclosure verification of debt
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Dispute
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False statements or representation
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Improper contact or sharing information
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Litigation
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Litiigation
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Taking or threatening an illegal action
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Threat of litigation
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Unauthorized Collection Activity
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Validation of debt
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Description
Desired Resolution
Salutation
First Name
Middle Name
Last Name
Last Four SSN
Age
Address1
Address 2
City
State Name
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Alabama
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Alaska
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All
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Arizona
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Arkansas
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California
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Colorado
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Connecticut
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Delaware
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District of Columbia
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Florida
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Georgia
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Hawaii
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Idaho
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Illinois
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Indiana
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Iowa
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Kansas
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Kentucky
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Louisiana
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Maine
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Maryland
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Massachusetts
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Michigan
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Minnesota
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Mississippi
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Missouri
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Montana
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Nebraska
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Nevada
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New Hampshire
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New Jersey
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New Mexico
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New York
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North Carolina
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North Dakota
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Ohio
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Oklahoma
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Oregon
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Pennsylvania
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Puerto Rico
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Rhode Island
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South Carolina
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South Dakota
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Tennessee
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Texas
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Utah
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Vermont
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Virginia
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Washington
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West Virginia
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Wisconsin
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Wyoming
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Zip
Phone
Email
Military affiliation:The consumer is now or was (select all that apply)
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A service member
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Are you represented by an attorney
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Have you previously submitted feedback about this complaint
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May we contact you via phone or email to discuss about this complaint
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The dependent or spouse of a service member
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A service member
Are you represented by an attorney
Have you previously submitted feedback about this complaint
May we contact you via phone or email to discuss about this complaint
The dependent or spouse of a service member
Which company is contacting you about this debt?
Provide the corresponding address for this company.
Provide the corresponding city for this company.
Provide the corresponding state for this company.
--Select--
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Alabama
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Alaska
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All
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Arizona
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Arkansas
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California
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Colorado
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Connecticut
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Delaware
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District of Columbia
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Florida
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Georgia
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Hawaii
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Idaho
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Illinois
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Indiana
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Iowa
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Kansas
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Kentucky
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Louisiana
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Maine
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Maryland
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Massachusetts
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Michigan
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Minnesota
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Mississippi
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Missouri
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Montana
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Nebraska
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Nevada
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New Hampshire
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New Jersey
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New Mexico
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New York
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North Carolina
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North Dakota
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Ohio
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Oklahoma
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Oregon
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Pennsylvania
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Rhode Island
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South Carolina
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South Dakota
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Tennessee
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Texas
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Utah
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Vermont
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Virginia
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Washington
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West Virginia
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Wisconsin
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Wyoming
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Provide the corresponding zip code for this company.
Provide the corresponding phone number for this company.
Provide the corresponding Representative name or ID.
Provide the corresponding account number
Do you know the company name from where this debt came?
Provide the phone number of the company from where this debt came
Provide the Representative name or ID of the company from where this debt came
Provide the account number from where this debt came
Type of Event (sub)
--Select--
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3rd Party Attempting to Collect
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Attempted to collect wrong amount
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Attempted to/Collected exempt funds (i.e. unemployment, child support, etc.)
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Called after sent written cease of communication notice
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Called outside of 8am-9pm
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Consumer threatened legal action
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Contacted me after I asked not to
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Contacted me instead of my attorney
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Contacted my employer
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Credit bureau dispute (direct)
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Credit bureau dispute (indirect)
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Debt is not mine
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Debt resulted from identity theft
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Debt was discharged in bankruptcy
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Debt was paid
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Did not disclose communication was an attempt to collect a debt
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Did not receive notice of right to dispute
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FDCPA
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Frequent or repeated calls
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Impersonated attorney, law enforcement or government offical
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Incorrect Information
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Incorrect Status
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Incorrect Terms
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Indicated committing crime by not paying debt
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Indicated should not respond to lawsuit
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Not enough information to verify debt i.e. amount of debt & name of creditor
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Other
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Requested validation only
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Seized or attempted to seize property
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Sued me where I did not live or did not sign for the debt
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Sued me without properly notifying me of lawsuit
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Talked to a third party about my debt
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TCPA
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Threatened to arrest me or take me to jail if I do not pay
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Threatened to sue me on debt that is too old to be sued on
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Threatened to take legal action
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Used obscene, profane or other abusive language
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Verbal
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Verbal Dispute
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Written
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Written Dispute
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*
The information provided above is true to my knowledge and can be used as an evidence during the complaint/dispute resolution process.
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