Google File Link: https://docs.google.com/document/d/1Jtx-Ph8Dqa3fFBnKA9moXi2kHcPLxpIR1Gv6crHLaVg/edit?usp=sharing

{{Today’s Date}}

{{Your Legal Name}}

{{Your Address, City, State, Zip Code}}

{{Name of Credit or Debit Card Company}}

Attn: Billing Inquiries

{{Full Address}} (DISPUTER DATABASE )

Re: Notice of disputed charge to Account No. {{Your account number}} (Include full numbers)

To whom it may concern:

I am writing to dispute a charge of {{charge amount}} (include exact dollar amount) to my {{card type}} account on {{date of the charge}}. The charge is in error because {{explanation of problem}}.

{{Additional explanation}

I am requesting that the error be corrected prompty, that any finance or other charges related to the disputed amount be credited to my account, and that I get an accurate statement.