This document resides in the public domain and was original sourced from https://www.consumer.ftc.gov/articles/0385-samp....
[Date]
[Your Name]
[Your Address]
[Your City, State, Zip Code]
[Your Account Number]
[Name of Creditor]
[Billing Inquiries]
[Address]
[City, State, Zip Code]
Dear Sir or Madam:
I am writing to dispute a billing error in the amount of [ $______] on my account. The amount is inaccurate because [describe the problem]. I am requesting that the error be corrected, that any finance and other charges related to the disputed amount be credited as well, and that I receive an accurate statement.
Enclosed are copies of [use this sentence to describe any information you are enclosing, like sales slips or payment records] supporting my position. Please investigate this matter and correct the billing error as soon as possible.
Sincerely,
[Your name]
Enclosures: [List the enclosures]
