Credit Card Holder's Inquiry Concerning Billing Error

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This downloadable form is a PDF file.

Credit Card Holder's Inquiry Concerning Billing Error

TO: ____(1)____


Name of cardholder: __(3)_____

Cardholder's address: ____(4)_____

Credit Card account Number: _____(5)__

On the periodic billing statement dated _(6)___, 19_(7), for the above-numbered credit card account, I determined there was a billing error; specifically:


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


I would appreciate that the billing error be corrected, or that you otherwise respond to this inquiry, at your earliest convenience.

Dated (8)____, 19_(9). ____(10)__

Notice: This legal form is provided for general informational purposes. Before you utilize any legal form you find on the Internet, you should have it reviewed by a lawyer in your jurisdiction to be sure that it meets your legal needs, and will be held valid by a court in the jurisdiction where you reside.

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