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] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] Re: Disputed Balance Notice — Account Number: [Account Number] Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally dispute the outstanding balance reflected in my account with [Company Name]. I have recently received the billing statement dated [Date], which indicates a balance of [Amount] due. Furthermore, I must emphasize that I have taken every precaution to ensure that there are no discrepancies in my account. However, upon thoroughly reviewing the charges and payments, I have identified several inconsistencies that require immediate attention and clarification. To shed light on the matter, I have listed below the disputed transactions and the reasons for my contention: 1. Transaction Date: [Date] Description: [Provide a detailed description of the transaction being disputed] Invoice/Billing Number: [Invoice/Billing Number] Amount: [Amount] Reason for Dispute: [State the specific reason for your dispute, e.g., incorrect product received, service not rendered, or charge not authorized] 2. Transaction Date: [Date] Description: [Provide a detailed description of the transaction being disputed] Invoice/Billing Number: [Invoice/Billing Number] Amount: [Amount] Reason for Dispute: [State the specific reason for your dispute, e.g., billing error, duplicate charge, or returned merchandise] I kindly request that you thoroughly investigate and rectify these discrepancies promptly. I expect that any inaccuracies will be resolved appropriately, and the disputed charges will be reevaluated and adjusted accordingly. In adherence to my rights under the Fair Credit Reporting Act (FCRA), I also request that you promptly provide me with all relevant documentation concerning my account, including but not limited to: 1. Copies of all invoices and billing statements related to the disputed transactions. 2. Proof of any signed agreements or contracts authorizing the charges in question. Kindly supply the requested information within 30 days from the date of this letter. Should you fail to comply within the stipulated timeframe or fail to satisfactorily address my concerns, I will be left with no choice but to seek assistance from regulatory bodies, such as the Consumer Financial Protection Bureau (CFPB), and even legal representation if necessary. Please acknowledge receipt of this letter and inform me of the steps taken to resolve the disputed balance. You can contact me via email or telephone at your earliest convenience. I trust that we can quickly bring this matter to a fair and satisfactory resolution. I appreciate your prompt attention to this dispute and anticipate your swift action. Yours sincerely, [Your Name]
[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] Re: Disputed Balance Notice — Account Number: [Account Number] Dear [Recipient's Name], I hope this letter finds you well. I am writing to formally dispute the outstanding balance reflected in my account with [Company Name]. I have recently received the billing statement dated [Date], which indicates a balance of [Amount] due. Furthermore, I must emphasize that I have taken every precaution to ensure that there are no discrepancies in my account. However, upon thoroughly reviewing the charges and payments, I have identified several inconsistencies that require immediate attention and clarification. To shed light on the matter, I have listed below the disputed transactions and the reasons for my contention: 1. Transaction Date: [Date] Description: [Provide a detailed description of the transaction being disputed] Invoice/Billing Number: [Invoice/Billing Number] Amount: [Amount] Reason for Dispute: [State the specific reason for your dispute, e.g., incorrect product received, service not rendered, or charge not authorized] 2. Transaction Date: [Date] Description: [Provide a detailed description of the transaction being disputed] Invoice/Billing Number: [Invoice/Billing Number] Amount: [Amount] Reason for Dispute: [State the specific reason for your dispute, e.g., billing error, duplicate charge, or returned merchandise] I kindly request that you thoroughly investigate and rectify these discrepancies promptly. I expect that any inaccuracies will be resolved appropriately, and the disputed charges will be reevaluated and adjusted accordingly. In adherence to my rights under the Fair Credit Reporting Act (FCRA), I also request that you promptly provide me with all relevant documentation concerning my account, including but not limited to: 1. Copies of all invoices and billing statements related to the disputed transactions. 2. Proof of any signed agreements or contracts authorizing the charges in question. Kindly supply the requested information within 30 days from the date of this letter. Should you fail to comply within the stipulated timeframe or fail to satisfactorily address my concerns, I will be left with no choice but to seek assistance from regulatory bodies, such as the Consumer Financial Protection Bureau (CFPB), and even legal representation if necessary. Please acknowledge receipt of this letter and inform me of the steps taken to resolve the disputed balance. You can contact me via email or telephone at your earliest convenience. I trust that we can quickly bring this matter to a fair and satisfactory resolution. I appreciate your prompt attention to this dispute and anticipate your swift action. Yours sincerely, [Your Name]