You may also provide them with a copy of a recent bill, like a utility statement or bank statement. Name and address of alleged creditor.• Name on file of alleged debtor. Use the sample letter if you believe that your checking account report contains information that is inaccurate or incomplete. For best results, complete this form using Adobe Reader. You will need to print a copy for your signature(s) and notarization(s). The FDIC may be able to assist you in obtaining a lien release if the request is for a customer of a failed bank that was placed into FDIC receivership. Fill out the sections that are changed. Indicate your reason for requiring a corrected title. The County of DuPage Wheaton, Illinois Recorder's Online Documents Search Documents Please complete at least one field below.