REAL ESTATE RENTAL FORM
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COLLECTION & VIOLATION NOTICES - REPORT TO CREDIT AGENCY

SAMPLE LETTER TO NATIONAL CREDIT REPORTING AGENCY

TO REPORT A JUDGMENT

Date: ______________________

Equifax Information Service Center

P.O. Box 740241

Atlanta, GA 30374-0241

Dear Sir or Madam:

This office recently was awarded a judgment (Case number)______ awarded by the following Court__________________   of the State of ______ in and for the County of _____________ in the amount of $_________. It was awarded on the following date __________________.

The judgment debtor is:

NAME: ____________________________

SSN: ______________________________

DOB: ______________________________

ADDRESS: ___________________________________________________________

CITY, STATE, ZIP: ______________________________________________________

Copies of the judgment are enclosed so that information may be included in the judgment debtor's credit record. If a contact telephone number can be included in the credit file for inquiries concerning this matter, please include my following office phone number _________________. Thank you.

Sincerely,

Judgment Creditor

Address _____________________________

City, ST, Zip __________________________

Phone # _____________________________

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