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                                             NOTICE-DISPUTED BALANCE






               We acknowledge receipt of your bill dated ___________,


        19__, indicating an account balance of $_______________.  We


        dispute said balance because



               ____ Goods have not been received.


               ____No credit for prior payment made in the amount of  $_________.


               ____ Goods were not ordered.


               ____ Goods were defective as per prior notice.


               ____ Goods are available for return as per our rights of return and credit.


               ____ Other


               Please adjust our account.



                                          Very truly,