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Dispute Amount of Bill or Quality of Goods or Services Received

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Dispute Amount of Bill or Quality of Goods or Services Received

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									Date: ______________________

__________________________________________________
__________________________________________________
__________________________________________________


To: ________________________

I am writing to dispute the following bill you are attempting to collect.


Name(s) on account: ___________________________
Account number: ______________________________
Creditor: _____________________________________
Amount in dispute: _____________________________




I am disputing this bill for the following reason(s):
_____________________________________________________________________________
_____________________________________________________________________________


Please return this bill to the creditor immediately and remove any "sent to collection agency" notation that
may be in my credit file.


Thank you for your attention to this matter.

Sincerely,

________________________________________
              Your signature

Name:             ____________________
Address:          ____________________
                  ____________________
Home phone:       ____________________




cc: Credit grantor, _____________________________

								
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