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Free Legal Forms page - Cardholder Billing Error

 

CARDHOLDER'S INQUIRY CONCERNING BILLING ERROR
TO: ____________(1)____________
____________(2)____________
Name of cardholder: ______________(3)_________________
Cardholder's address: ____________(4)_________________
Credit Card account Number: _________(5)______________
On the periodic billing statement dated _____(6)_______, ____(7)_, for the abovenumbered
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)_____________, ____(9)_.
____________(10)______________


NOTICE
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