[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] Subject: Disputed Bill for [Service/Company Name] Account Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally dispute a bill I recently received from [Service/Company Name] pertaining to my [specific service] account. I have carefully reviewed the charges and have noticed discrepancies that need immediate attention. Upon examining the bill, it came to my attention that there are several items listed for which I have not received satisfactory explanations. Firstly, the bill includes a charge of EX for [service/transaction]. However, I have never authorized nor received this particular service. I kindly request you to rectify this error promptly. Furthermore, the bill exhibits an additional charge of EX for [specific fee], which is not listed nor mentioned in the terms and conditions we initially agreed upon. I kindly seek clarification for the imposed fee or request its removal from the bill. To ensure a resolution to this matter, I have taken the liberty of gathering supporting documents, including copies of previous bills, our contract, and any relevant correspondence. I kindly request that you investigate these discrepancies thoroughly and provide me with a detailed account of each charge included in the bill. It is important to emphasize that while I dispute specific charges, I am fully prepared to pay for any legitimate charges I have incurred. I have been a loyal and satisfied customer of [Service/Company Name] for several years, and I hope that this issue can be resolved promptly, maintaining the trust and satisfaction I have had with your services. According to the Fair Credit Billing Act, I expect that you acknowledge receipt of this letter within 30 days and undertake a resolution within 60 days. Failure to address this issue within the specified timeframes may necessitate my further actions, including seeking legal advice and lodging a complaint with the appropriate regulatory bodies. Please provide a detailed response to my concerns regarding the disputed bill within two weeks from the receipt of this letter. You can reach me at the contact details provided above. I appreciate your prompt attention to this matter and your assistance in resolving this dispute. Thank you for your immediate action and cooperation in this matter. I look forward to your prompt response. Sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.