Credit Synergy

Authorization To Dispute


Authorization Date: May 15, 2025

I, (Consumer), acknowledge and authorized the following credit service organization to dispute inaccurate or non-compliant information on my credit file:

Credit Synergy
300 Delaware Ave.
Ste 210 #519
Wilmington, DE 19801

(302) 599-7802

I have been provided with and signed an Information Statement by Credit Synergy detailing my consumer credit file rights, including my right to dispute inaccurate information with each bureau and/or data furnisher. My provider has also disclosed my right to obtain a copy of my credit report from a credit bureau.

I am aware that I may dispute inaccurate information on my credit file without paying a credit service organization, but willfully choose to hire one to dispute on my behalf. I have signed a service agreement where I agreed to a zero-advanced payment to the provider, Credit Synergy, until work described in the agreement is completed.

I am also aware that my provider has registered and/or obtained all necessary documents, registrations, bonds, if required, and met all requirements to offer credit counseling services.

My address:

My SSN: ###-##-

I hereby authorize Credit Synergy to obtain credit report(s) from any consumer/credit reporting agency for disputing purposes on my behalf. This authorization is valid for 2 years from the signed date, or upon the termination of my service agreement with Credit Synergy, whichever is sooner.

I hereby authorize this investigation.

CUSTOMER

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Signature Certificate
Document name: Authorization To Dispute
lock iconUnique Document ID: 3499b6980593e3df19c0fd8b5519fab31cfd3db8
Timestamp Audit
July 21, 2023 2:16 pm EDTAuthorization To Dispute Uploaded by Tiffany Wright - info@creditsynergy.org IP 119.94.169.159
July 21, 2023 2:17 pm EDTDisclosure Notification - disclosure@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 222.127.63.75
July 21, 2023 2:17 pm EDTSales Team - sales.team@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 222.127.63.75
October 4, 2023 1:55 pm EDTDisclosure Notification - disclosure@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.164.181
October 4, 2023 1:55 pm EDTSales Team - sales.team@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.164.181
October 4, 2023 2:02 pm EDTDisclosure Notification - disclosure@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.164.181
October 4, 2023 2:02 pm EDTSales Team - sales.team@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.164.181
October 5, 2023 11:21 am EDTDisclosure Notification - disclosure@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.164.181
October 5, 2023 11:22 am EDTCM Team Consultants - cmteamconsultants@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.164.181
October 12, 2023 9:46 am EDTDisclosure Notification - disclosure@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 136.158.61.138
October 12, 2023 9:46 am EDTCM Team Consultants - cmteamconsultants@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 136.158.61.138
November 9, 2023 3:19 pm EDTDisclosure Notification - disclosure@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.169.159
November 9, 2023 3:19 pm EDTCM Team Consultants - cmteamconsultants@creditmanager.io added by Tiffany Wright - info@creditsynergy.org as a CC'd Recipient Ip: 119.94.169.159