Cardholder's Inquiry Concerning Billing Error
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:
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)_____________, 19__(9)_.
The information in this document is designed to provide an outline
that you can follow when formulating business or personal plans.
Due to the variances of many local, city, county and state laws,
we recommend that you seek professional legal counseling before
entering into any contract or agreement.