Printable Business Form Templates
Request for Disputed Invoice Information Business Form Template


To: {Name}
      {City, State, Zip}

Dear {Recipient},

This letter is to notify you that we recently received an {invoice/statement} with the number {number}, and dated {date}, in the amount of {amount}.

We believe this {invoice/statement} to be incorrect because {reason why you are disputing this invoice}.

We would like to resolve this issue as quickly as possible, but in order to do so, we need the following information from you: {copies of charges, list of shipped goods, etc.}.

Thank you,


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