Arbitration Releases _ Settlements Releases and Settlements Disputed Account - Settlement Offer

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DISPUTED ACCOUNT - SETTLEMENT OFFER Date: ________________________ To: _______________________________ Address: ___________________________ ___________________________ From: ________________________ Address: ______________________ ______________________ Re: Disputed Account Reference: ________________________ Amount: $_______________ We dispute the balance indicated above as owing by us for the following reason(s): ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Without admitting liability and solely for the purpose of a rapid and equitable resolution of this disputed matter, we are prepared to offer an immediate payment of $______________, in full settlement of this disputed account. If this proposal is acceptable to you, please advise us in writing. We will send the acceptable payment by return mail. _________________________________ (Title / Company)

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