Debt Validation Request Letter PDF

Fill in your details, the collector information, and dispute options to create a clean validation request to send by mail.

Debt validation letter details

Generate a debt validation request letter you can send to a collector within 30 days of notice.

Your information

Your name

Mailing address

Email (optional)

Phone (optional)

Debt collector information

Collector name

Collector mailing address

Account details

Account number

Original creditor

Claimed balance

Letter date

Options

I dispute this debt (in whole or in part).Ask them to cease collection until they validate the debt.Ask them to contact me only in writing at my mailing address.

Additional details (optional)

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Disclaimer: This PDF is not an official bank statement. It’s a clean summary for court/landlord purposes.

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Pro tip: Double-check names, date range, and totals before downloading.