Today's Date

Your Name
Your Address
Your Account Number

Credit Card Company's Name
Company's Address

Dear {Billing Department or Account Representative} ,

Re: Billing Error

There is a billing error on my {place month here} periodic statement in the amount of ${place dollar amount here}

I believe this is an error because {describe the error and explain why you believe there is an error}

or use the following paragraph instead

I need more information about line item {place the line item number or description here} as I am unable to determine from my records what the charge is for. Please send copies of any documents you have pertaining to this item.

I also understand that I may refuse to pay those portions of my debt that are in dispute however, I must continue to make minimum payments on any undisputed portion of my debt in accordance with the terms outlined in my disclosure statement.

Please contact me at the above address or by phone at (home and/or office numbers with area code). I look forward to your reply and a resolution to this problem.

Sincerely,

Signature
Your Printed Name