This form is a sample letter in Word format covering the subject matter of the title of the form.
[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Company Name] [Company Address] [City, State, ZIP Code] Subject: Disputed Balance Notice — Account: [Account Number] Dear [Company Name], I hope this letter finds you well. I am writing to formally dispute the balance stated on my recent billing statement for the aforementioned account. Upon carefully reviewing the charges, I have identified several discrepancies that need to be resolved to ensure the accuracy of my account. To provide you with a comprehensive overview, I have outlined the disputed balance and the specific discrepancies below: 1. [Disputed Charge/Debit] — [Amount]: According to my records, I have not authorized or incurred the aforementioned charge on the specified date. I request a detailed breakdown of this charge along with supporting documentation, such as receipts or transaction records, to substantiate its validity. 2. [Disputed Charge/Debit] — [Amount]: This charge appears to be significantly higher than the usual/expected amount for the service provided. I kindly request an itemized statement outlining the factors contributing to this increase, as well as relevant contract agreements or agreements detailing any changes in pricing. 3. [Disputed Charge/Debit] — [Amount]: The transaction date provided conflicts with my own records, leading me to believe there may have been an error in recording or processing this charge. To accurately evaluate the situation, I kindly request the transaction details, including date, time, and location, along with any applicable supporting documentation. I have taken the liberty of gathering relevant evidence to support my claim. Attached to this letter, you will find copies of [relevant documents, such as receipts, billing statements, or agreements] highlighting the aforementioned discrepancies. I believe it is crucial to ensure transparency and prompt resolution regarding this matter. In accordance with the Fair Credit Billing Act, I assert my rights to have a clear understanding of the charges on my account and to have these discrepancies promptly addressed and corrected. Therefore, I kindly request the following: 1. Provide a detailed investigation into the disputed charges, which includes obtaining all necessary documentation to validate or rectify the concerns raised. 2. Temporarily suspend any collection efforts regarding the disputed balance until a resolution is reached. 3. Issue a written response within [timeline suggested, e.g., 30 calendar days] from the date of this letter, confirming the receipt of my dispute and the initiation of an investigation, as well as a tentative timeline for resolving the matter. Furthermore, please note that until this matter is resolved to my satisfaction, I will withhold any payments relating to the disputed amount. I trust that you will act promptly to address this issue, as your attention and cooperation in resolving this dispute are greatly appreciated. I look forward to your prompt response and the resolution of this matter. In the event that I do not receive a satisfactory response within the given timeframe, I reserve the right to escalate this dispute and explore further legal remedies available to me. Thank you for your immediate attention to this matter. Sincerely, [Your Name]
[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Company Name] [Company Address] [City, State, ZIP Code] Subject: Disputed Balance Notice — Account: [Account Number] Dear [Company Name], I hope this letter finds you well. I am writing to formally dispute the balance stated on my recent billing statement for the aforementioned account. Upon carefully reviewing the charges, I have identified several discrepancies that need to be resolved to ensure the accuracy of my account. To provide you with a comprehensive overview, I have outlined the disputed balance and the specific discrepancies below: 1. [Disputed Charge/Debit] — [Amount]: According to my records, I have not authorized or incurred the aforementioned charge on the specified date. I request a detailed breakdown of this charge along with supporting documentation, such as receipts or transaction records, to substantiate its validity. 2. [Disputed Charge/Debit] — [Amount]: This charge appears to be significantly higher than the usual/expected amount for the service provided. I kindly request an itemized statement outlining the factors contributing to this increase, as well as relevant contract agreements or agreements detailing any changes in pricing. 3. [Disputed Charge/Debit] — [Amount]: The transaction date provided conflicts with my own records, leading me to believe there may have been an error in recording or processing this charge. To accurately evaluate the situation, I kindly request the transaction details, including date, time, and location, along with any applicable supporting documentation. I have taken the liberty of gathering relevant evidence to support my claim. Attached to this letter, you will find copies of [relevant documents, such as receipts, billing statements, or agreements] highlighting the aforementioned discrepancies. I believe it is crucial to ensure transparency and prompt resolution regarding this matter. In accordance with the Fair Credit Billing Act, I assert my rights to have a clear understanding of the charges on my account and to have these discrepancies promptly addressed and corrected. Therefore, I kindly request the following: 1. Provide a detailed investigation into the disputed charges, which includes obtaining all necessary documentation to validate or rectify the concerns raised. 2. Temporarily suspend any collection efforts regarding the disputed balance until a resolution is reached. 3. Issue a written response within [timeline suggested, e.g., 30 calendar days] from the date of this letter, confirming the receipt of my dispute and the initiation of an investigation, as well as a tentative timeline for resolving the matter. Furthermore, please note that until this matter is resolved to my satisfaction, I will withhold any payments relating to the disputed amount. I trust that you will act promptly to address this issue, as your attention and cooperation in resolving this dispute are greatly appreciated. I look forward to your prompt response and the resolution of this matter. In the event that I do not receive a satisfactory response within the given timeframe, I reserve the right to escalate this dispute and explore further legal remedies available to me. Thank you for your immediate attention to this matter. Sincerely, [Your Name]