[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/Transaction] — Account Number: [Account Number] Dear [Recipient's Name], I hope this letter finds you well. I am writing to dispute a bill I received from [Company/Service Provider] regarding a [service/transaction] performed on [date]. After carefully reviewing the charges, I have identified several discrepancies that require immediate attention. Firstly, I would like to address the incorrect billing amount stated in the bill. The invoice reflects a total charge of $[Amount], whereas the agreed-upon amount was $[Agreed Amount]. I have attached copies of the original agreement and relevant supporting documents for your reference. It is imperative that this mistake is rectified promptly. Furthermore, upon reviewing the itemized bill, I noticed several charges that were either redundant or not agreed upon at the outset. These discrepancies include [list specific charges and explain why they are disputed]. According to our agreement, these additional charges were not mentioned or discussed, and therefore, I believe they should be removed from the bill. Additionally, I have already made payments toward the services provided. However, the bill fails to reflect these payments accurately. Enclosed are the copies of payment receipts confirming that partial payments had been made on [date(s)] in the amount of $[total payment]. I kindly request that you update the bill to reflect the correct outstanding balance. To resolve this dispute amicably and as swiftly as possible, I would appreciate your prompt attention to the matter. I kindly request that you investigate these discrepancies thoroughly and provide a revised bill within [number of days] of receiving this letter. In addition, I request written confirmation indicating that the disputed charges have been removed and the updated total balance owing. Please note that until this matter is resolved, I will withhold any further payments regarding the disputed charges. However, I remain committed to fulfilling any legitimate charges that are properly documented and are in alignment with our agreed-upon terms and conditions. In light of the above information, I expect the necessary adjustments to be made promptly, ensuring the accuracy and fairness of the bill. I value the business relationship we have established thus far and hope to resolve this dispute in a timely manner. Thank you for your immediate attention to this matter. I have faith in your ability to address this dispute promptly and look forward to receiving a favorable resolution. Please feel free to contact me at [phone number] or via email at [email address] should you require any further information or documentation to assist in the resolution process. Yours 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.