[Your Name] [Your Address] [City, State, ZIP] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] Subject: Disputed Balance Notice for Account [Account Number] Dear [Recipient's Name], I am writing to bring to your attention a disputed balance on my account [Account Number]. I have carefully reviewed the details of the transactions on my account statement and have identified a discrepancy that requires immediate resolution. According to my records, there seems to be an error in the recent billing statement I received from your company. The disputed balance appears to be related to [describe specific transaction(s) in detail] and has resulted in an incorrect outstanding balance of [amount in dispute]. I kindly request that you conduct a thorough investigation into this matter and rectify the discrepancy promptly. I have enclosed copies of all supporting documents, including receipts, invoices, and any other relevant information pertaining to the disputed transaction(s). It is important to note that I have made diligent efforts to resolve this matter through previous communication with your customer service department. To ensure a prompt resolution, I urge you to acknowledge receipt of this letter within 10 business days from its date. Additionally, I request that you notify me of any actions taken in response to this dispute. Although I trust in your professionalism and commitment to customer satisfaction, I reserve the right to escalate this matter further if it remains unresolved. Please be advised that until this dispute is settled, I will not make any payments towards the disputed amount. This action is not meant to be adversarial but rather to protect my rights as a customer. I hope to reach an amicable resolution that positively reflects both our interests. I kindly request that you address this dispute with the utmost urgency and provide me with a written response outlining the steps you will be taking to investigate and resolve the discrepancy. If necessary, I am open to a mutually agreed-upon method of dispute resolution, such as mediation, to expedite the resolution process. I appreciate your immediate attention to this matter and trust that we can resolve this dispute swiftly and amicably. As a loyal customer, I value the relationship I have established with your company and hope that our future interactions will remain positive. Thank you for your cooperation, and 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.