Dispute

Committed to going the distance

Remex Reference Number (located in top right corner of the correspondence you received): *

First Name: *

Last Name: *

Address: *

*Phone Number:

Phone Type *

Cell

Home

Work

Do you consent to receiving phone communication at this number? *

Yes

**Email address:

Do you consent to receiving email communication at this address? *

Yes

How do you want to respond? *

Select all that apply:

I want to dispute the debt

This is not my debt

The amount is wrong

Other (please provide additional information)

I want you to send me the name and address of the original creditor

Additional Information: *

Upload supporting documents

Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf.

For payment options, please visit www.remexpay.com, or mail a check or money order to:

Remex, Inc.

PO Box 765

Rocky Hill, NJ 08553-1765

*By providing my mobile phone number and clicking submit, I am agreeing to receive text messages from Remex, Inc. I expressly consent to contact from Remex, Inc. at the number via live, automated or prerecorded telephone calls and text messages. I understand that my telephone company may impose charges on me for these contacts, and I am not required to enter into this agreement as a condition of purchasing property, goods, or services. I understand that I can revoke this consent at any time.
**By providing my email address and clicking submit, I am agreeing and expressly consent to communications from Remex, Inc. by email at the email address provided.

This is an attempt to collect a debt. Any information obtained will be used for that purpose.

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475 Wall Street, Princeton, NJ 08540-1515 tel 800.562.5158

ACA International NMLS Number: 934193 NV License: CA10122 NV Manager's License: CMS10524