Dear …
RE: Account __(Reference #/ Name)__
Recently, I received __(a bill/an invoice/a statement)__ from __(name of organization)__ that does not agree with my records. Please find attached a copy of the __(bill/invoice/statement)__ I am referring to. Below, I have outlined the transactions that I am questioning.
Date Description $ Amount
__(Date)__ (Transaction description) (dollar amount)
__(Date)__ (Transaction description) (dollar amount)
__(Date)__ (Transaction description) (dollar amount)
__(Date)__ (Transaction description) (dollar amount)
I ask you to please review my account and provide me with __(an explanation/the documentation)__ that supports the transactions listed above. If you are unable to provide __(an explanation/the supporting documentation)__, I ask that these entries be reversed. __(In addition, I have made __(a payment on date/several payments; date, date, and date)__ that __(is/are)__ not reflected in the attached __(billing/statement)__. You will find my payment documentation is attached)__. Please __(forward your responding correspondence to: address - fax # - email /contact me at phone #/etc)__.
Thank you for your quick response to this matter. I look forward to hearing from you soon.
Yours truly,