Consumer Complaint Form

TEXAS DEPARTMENT OF BANKING - CONSUMER COMPLAINT FORM 

PLEASE CAREFULLY READ INSTRUCTIONS ON THE BACK OF THIS FORM BEFORE PROCEEDING It is very important that you fill out this form completely. Please use black ink or typewriter. Completion of this form will expedite processing your complaint. Please return completed form as soon as possible. 

TEXAS DEPARTMENT OF BANKING ATTENTION: CONSUMER COMPLAINTS 

2601 N. LAMAR BOULEVARD AUSTIN, TEXAS 78705- 4294 

Name, Address and Telephone # of Bank/ Trust Company Remember: we will send a copy of your complaint to against which your are complaining: the bank/ trust company against which you are ______________________________________________ complaining. ______________________________________________ Date of Transaction: __________________________ ______________________________________________ Did you sign a contract? If so, give name of person ______________________________________________ to whom you complained and dates. ______________________________________________ __________________________________________ 

The Texas Department of Banking has no authority to resolve disputes in litigation. Have you consulted an attorney regarding this complaint? If so, please briefly provide details: 

PLEASE STATE THE EXACT DETAILS OF YOUR DEALINGS WITH THE BANK/ TRUST COMPANY AGAINST WHICH YOUR ARE COMPLAINING, BE SURE TO TELL US NAMES OR PERSONS WITH WHOM YOU DEALT AND THE DATES. PLEASE ENCLOSE COPIES OF ANY WRITTEN CONTRACTS, LETTERS, CHECKS, RECEIPTS, AND OTHER DOCUMENTS RELATING TO THE COMPLAINT. DO NOT ENCLOSE ORIGINALS. 

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(If you need more space, use additional pages.) 

TELL US WHAT YOU FEEL WOULD BE A REASONABLE RESOLUTION OF YOUR COMPLAINT. Your name and address: 

Home #( ) Work #( ) Date: Your Signature: 

451.199- 8- 01 (Revised 10/ 98) Texas Department of Banking Telephone: (512) 475- 1300 FAX: (512) 475- 1313 

PLEASE NOTE: THE TEXAS DEPARTMENT OF BANKING REGULATES STATE BANKS/ TRUST COMPANIES. 

Is the bank/ trust company against which you are complaining a state bank/ trust company? If you do not know, please call the bank/ trust company and inquire. 

If your complaint does not involve a state bank/ trust company, please contact the appropriate authority. NATIONAL BANKS Comptroller of the Currency 

Customer Assistance Group 1301 McKinney St., Suite 3710 Houston, Texas 77010 (713) 336- 4300 (800) 613- 6743 FAX: (713) 336- 4301 

STATE- CHARTERED Texas Savings and Loan Department SAVINGS & LOANS 2601 N. Lamar Boulevard 

Austin, Texas 78705 (512) 475- 1350 

FEDERAL SAVINGS & LOANS Office of Thrift Supervision Department of the Treasury 122 W. John Carpenter Frwy. Irving, Texas 75039 P. O. Box 619027 Dallas/ Fort Worth, TX 75261- 9027 (972) 281- 2000 

STATE CREDIT UNIONS Credit Union Department 914 East Anderson Lane Austin, Texas 78752 (512) 837- 9236 FAX: (512) 832- 0278 

FEDERAL CREDIT UNIONS National Credit Union Administration 4807 Spicewood Springs Road, Suite 5200 Austin, Texas 78759- 8490 (512) 349- 4500 

CONSUMER FINANCE COMPANIES Office of Consumer Credit Commissioner SECONDARY MORTGAGE LENDERS, 2601 N. Lamar Boulevard, 2nd Floor PAWN SHOPS AND Austin, Texas 78705- 4207 RETAIL INSTALLMENT SALES (512) 936- 7600 (800) 538- 1579 

DECEPTIVE TRADE PRACTICES Attorney General of Texas MORTGAGE COMPANIES Consumer Protection Division 

P. O. Box 12548 Austin, Texas 78711- 2548 (512) 463- 2070 (800) 621- 0508 

FAIR CREDIT REPORTING Federal Trade Commission ACT VIOLATIONS Dallas Regional Office 

1999 Bryan St., Ste 2150 Dallas, Texas 75201 (214) 979- 0213 

MORTGAGE COMPANIES Texas Mortgage Banker’s Association 11 Greenway Plaza, Suite 1614 Houston, Texas 77046 (713) 623- 4757 

INSURANCE Texas Department of Insurance Consumer Protection P. O. Box 149104 Austin, Texas 78714- 9104 (512) 463- 6515 (800) 252- 3439 (800) 252- 3439