Title: F-35: Notice of Billing Error Dispute on Credit Card Bill
Author: Nolo
Last saved by: ebitter

Date: _____________________

_______________________________________
_______________________________________
_______________________________________

Attn: Customer Service

Name(s) on account: _____________________
Account number: _____________________

To Whom It May Concern:

I am writing to point out an error that appears on my billing statement dated _____________________.
Merchant's name: _____________________
Amount in error: _____________________
I am withholding this amount.
The problem is as follows:
_______________________________________________________________________
_______________________________________________________________________

I understand that the law requires you to acknowledge receipt of this letter within 30 days unless you correct this billing error before then. Furthermore, I understand that within two billing cycles (but in no event more than 90 days), you must correct the error or explain why you believe the amount to be correct.

Sincerely,

________________________________________
	[Your signature]

Name:	_____________________
Address:	_____________________
_____________________
Home phone:	_____________________
Email address:	_____________________

F-35: Notice of Billing Error Dispute on Credit Card Bill                                  Page  of