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Get Cross Servicing Debtor Dispute Form

Department of the Treasury Bureau of the Fiscal Service CROSS SERVICING DEBTOR DISPUTE FORM Please complete the form below attaching any supporting documentation. Fax form and attachments to 855-415-4999. Name Address Social Security Number FedDebt Number Comments You may also mail the form to U*S* Department of the Treasury Debt Management Services P O Box 830794 Birmingham AL 35283-0794 Privacy Act Statement Collection of this information is authorized by 5 U*S*C. 552a 26 U*S*C. 6331 and 6402 .

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