1. In the sample letter, fill in your personal information. The letter is a request from Emma Baluyot to settle her debt with Althea Financing for 150,000 pesos.This program will help you write a letter that formally requests the money you are owed. This is called a Demand Letter. You can go to the websites for each of the three credit bureaus and use their form to dispute derogatory entries. Use this sample letter to dispute mistakes on your credit report. This demand letter sample is available for free use on UpCounsel. Download our sample letter and instructions to submit a dispute with an information furnisher. Download our sample letter and instructions to submit a dispute. Ready to Get Started?