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Credit Card Dispute Letter Template

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Quick Overview

A Credit Card Dispute Letter Template is used when charges are recorded to an account in error. This form is used to dispute these charges with the credit card company. This form can also be used to dispute other types of account balances besides a credit card. This credit card dispute letter template is in Fillable PDF format as well Microsoft Word File.

Credit Card Dispute Letter Template

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Sample Text: (Formatting does not match the actually Forms)

Credit Card Dispute Letter Template



Disputed Balance Notice
Date: ____________________________________________________________
To: ______________________________________________________________
We are in receipt of your statement dated _________________________________,
20___________, indicating an account balance of:
$__________________________________________________________________.
We dispute said balance for the reason(s) ticked.
_________________ Goods billed for have not been received.
_________________ Prices are in excess of agreed amount.
_________________ Prior payment made in the amount of:
$__________________________________________________________________
on _________________________________________, 20 ____________________.
____________ Goods were unordered.
____________ Goods were defective as per prior notice.
____________ Goods are available for return as per our rights of return and credit.
___________Other
(Describe) _______________________________________________________________________________________________________________________________________________________________________________________________________
Please adjust our account.
Very truly,
Name: _______________________________________
___________________________________________________________________
Signature Date

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