TO: ____________(1)____________
____________(2)____________
Name of cardholder:
______________(3)_________________
Cardholder's address:
____________(4)_________________
Credit Card account Number:
_________(5)______________
On the periodic billing statement dated
_____(6)_______, 19__(7)_, for the above-numbered credit card account, I
determined there was a billing error; specifically:
(DESCRIBE ERROR)
It is my belief that the posting of such debit is
incorrect because:
(DISCUSS REASON)
Please be advised that the billing error described
above does not concern any dispute with respect to value, quality, or
quantity of the goods obtained through use of my credit card.
I would appreciate that the billing error be
corrected, or that you otherwise respond to this inquiry, at your
earliest convenience.
Dated _________(8)_____________, 19__(9)_.
____________(10)______________
NOTICE
The information in this document is designed to
provide an outline that you can follow when formulating business or
personal plans. Due to the variances of many local, city, county and
state laws, we recommend that you seek professional legal counseling before
entering into any contract or agreement.
