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] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Disputed Balance Notice — Account #[Account Number] Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally dispute the outstanding balance currently showing on my account, [Account Number], with [Company Name]. I have carefully reviewed the account statements and I firmly believe that there are errors and discrepancies in the charges and calculations. Furthermore, I kindly request your prompt attention to this matter to rectify the discrepancies and resolve the disputed balance. To provide a detailed explanation of the discrepancies, I have thoroughly examined the account history, invoices, and payment records. I have noted the following discrepancies that need urgent clarification and resolution: 1. [Describe the first disputed charge, including the date, amount, and any supporting information you may have.] 2. [Describe the second disputed charge, including the date, amount, and any supporting information you may have.] 3. [Continue to list any additional disputed charges with the necessary details.] To resolve this matter, I kindly request the following actions: 1. Conduct a thorough investigation into the disputed charges and provide me with a clear, itemized breakdown of each charge showcasing any documentation supporting their validity. 2. Resolve any errors promptly by correcting the balance or by providing an explanation for each disputed charge. This should include any adjustments that need to be made to bring the account back into alignment. 3. If any charges are found to be erroneous, I request that appropriate credits or refunds are issued promptly to adjust the current balance. I understand that resolving disputes can often take time, but I kindly request your expedited attention to this matter. As a valued customer, it is crucial to me that my concerns are addressed promptly and fairly. I would appreciate your written response within 30 days from the date of this letter. Moreover, please ensure that any collections efforts or negative reporting on my credit report is halted during the dispute resolution process for the disputed amount. If I do not receive a satisfactory resolution or a response from you within the specified time frame, I may have no choice but to seek legal assistance to protect my rights as a consumer. Thank you for your immediate attention to this matter and for your continued assistance in resolving this dispute. I look forward to receiving your prompt response. Sincerely, [Your Name]
[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Disputed Balance Notice — Account #[Account Number] Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally dispute the outstanding balance currently showing on my account, [Account Number], with [Company Name]. I have carefully reviewed the account statements and I firmly believe that there are errors and discrepancies in the charges and calculations. Furthermore, I kindly request your prompt attention to this matter to rectify the discrepancies and resolve the disputed balance. To provide a detailed explanation of the discrepancies, I have thoroughly examined the account history, invoices, and payment records. I have noted the following discrepancies that need urgent clarification and resolution: 1. [Describe the first disputed charge, including the date, amount, and any supporting information you may have.] 2. [Describe the second disputed charge, including the date, amount, and any supporting information you may have.] 3. [Continue to list any additional disputed charges with the necessary details.] To resolve this matter, I kindly request the following actions: 1. Conduct a thorough investigation into the disputed charges and provide me with a clear, itemized breakdown of each charge showcasing any documentation supporting their validity. 2. Resolve any errors promptly by correcting the balance or by providing an explanation for each disputed charge. This should include any adjustments that need to be made to bring the account back into alignment. 3. If any charges are found to be erroneous, I request that appropriate credits or refunds are issued promptly to adjust the current balance. I understand that resolving disputes can often take time, but I kindly request your expedited attention to this matter. As a valued customer, it is crucial to me that my concerns are addressed promptly and fairly. I would appreciate your written response within 30 days from the date of this letter. Moreover, please ensure that any collections efforts or negative reporting on my credit report is halted during the dispute resolution process for the disputed amount. If I do not receive a satisfactory resolution or a response from you within the specified time frame, I may have no choice but to seek legal assistance to protect my rights as a consumer. Thank you for your immediate attention to this matter and for your continued assistance in resolving this dispute. I look forward to receiving your prompt response. Sincerely, [Your Name]