[l-Date]
To:
[r-Name]
[r-Address]
From:
[s-Name]
[s-Company]
[s-Address]
[s-Phone]
RE: [s-Reference]
Dear [r-FName]:
We are in receipt of
your statement dated [s-Date], indicating an account balance of
[s-CheckAmount].
We dispute said
balance for the following checked reason[s]:
[ ] Products billed
for have not been received.
[ ] Prices are in
excess of agreed upon amount.
[ ] Prior payment
was made in the amount of $ [amount] on [date].
[ ] Products were
unordered.
[ ] Products were
defective as per prior notice.
[ ] Products are
available for return as per our right of return and credit.
[ ] Other
[Describe]
Please investigate
this matter and adjust our account accordingly.
Thank you for your
cooperation in this matter.
Best regards,
[s-Company]
[s-Name]
[s-Title]
