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Create a personalized Billing Dispute Letter for Creditors

Please fill out the forms below, once you click submit, we will populate the Billing Dispute letter with your given information and load it as a pdf in a new window.

Name:
   
Address Line 1:
   
Address Line 2:
   
City:
   
State:
   
Zip:
   


Date: September 8, 2010
Billing Inquiries
Name of Creditor
   
Creditor Address Line 1:
   
Creditor Address Line 2:
   
Creditor City:
   
Creditor State:
   
Creditor Zip:
   

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 enclosed information, such as sales slips, payment records:  ) supporting my position. Please investigate this matter and correct the billing error as soon as possible.

Sincerely,

Enclosures:(List what you are enclosing.)