Letter of Notice of Disputed Account : Please fill out the following form. Please print your completed form if you would like to have a copy for your records.
Dear (Courtesy and the first name of the person to be notified),
We refer to your Invoice or Statement No. (Invoice Number) dated (date with year) in the amount of $_____________.
We dispute the balance claimed for the following reason(s) :
Items billed for have not been received.
Prices are in excess of agreed amount. Credit of $ is claimed.
Prior payment made in the amount of $________ made on(date with year) was not credited.
Goods were not ordered, and are available for return pershipping instructions.
Goods were defective as per prior notice.
Goods are available for return and credit per sales items.
Therefore, we request you promptly credit our account in the amount of $_____________ so that this account may be satisfactorily cleared.
Very truly yours,
Letters for Credit and Collection Index
Letter of Notice of Disputed Account
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