LIST OF CREDITORS
Name:
(NOT ON YOUR CREDIT REPORT)
INSTRUCTIONS:
1. If a debt has been referred to a collection agency or attorney, you must list information for both creditors.
2. Please list creditors not on the Credit Report - except for current utility bills, auto loans, mortgage/rent or phone plans you will keep.
3. If you have multiple accounts with a creditor you only need to list them once. (Name and address is a MUST, and balances are nice
to have but not necessarily needed.)
Creditor: _____________________________________________
Creditor: _____________________________________________
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Estimate Balance: $_________________
Estimate Balance: $_________________
Creditor: _____________________________________________
Creditor: _____________________________________________
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Estimate Balance: $_________________
Estimate Balance: $_________________
Creditor: _____________________________________________
Creditor: _____________________________________________
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Estimate Balance: $_________________
Estimate Balance: $_________________
Creditor: _____________________________________________
Creditor: _____________________________________________
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Estimate Balance: $_________________
Estimate Balance: $_________________
Creditor: _____________________________________________
Creditor: _____________________________________________
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Address: ______________________________________________
Street address
______________________________________________________
City
State
Zip code
Estimate Balance: $_________________
Estimate Balance: $_________________