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Disputed Balance Notice

Disclaimer: Be aware that some of these sample letters have legal, financial, or other implications. If you are not sure about the use of any letter, consult with an appropriate professional first.

Disputed Balance Notice


Date: _

To: _

We are in receipt of your statement dated _, 19_,
indicating an account balance of $_.
We dispute said balance for the reason(s) checked.

____ Goods billed for have not been received.
____ Prices are in excess of agreed amount.
____ Prior payment made in the amount of $_ on _, 19_.
____ Goods were unordered.
____ Goods were defective as per prior notice.
____ Goods are available for return as per our right of
return and credit.
____ Other (Describe) _

Please adjust our account.

Very truly,




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