DISPUTED BALANCE NOTICE
Date: _
To: _
We are in receipt of your statement dated _, 20_, indicating an account balance of $_.
We dispute said balance for the reason(s) checked.
____ Goods invoiced for have not been received.
____ Prices are in excess as per the agreed amount.
____ Prior payment made in the amount of $_ on _, 20_.
____ Goods were unordered.
____ Goods were faulty as per prior notice.
____ Goods are available for return as per our right of return and credit.
____ Other (Describe) _
Please adjust our account accordingly.
Best Regards,
_____________________________