Date
Your Name
Your Address
Your City, State, Zip Code
Your Account Number
Name of Creditor/Bank
Billing Inquiries
Address
City, State, Zip Code
Dear Sir or Madam:
I am writing to dispute a fraudulent [charge or debit] on my account in the amount of $______.
I am a victim of identity theft, and I did not make this [charge or debit]. I am requesting that the
[charge be removed or the debit reinstated], that any finance and other charges related to the
fraudulent amount be credited, as well, and that I receive an accurate statement.
Enclosed are copies of [use this sentence to describe any enclosed information, such as a police
report] supporting my position. Please investigate this matter and correct the fraudulent [charge or
debit] as soon as possible. I would appreciate a response from you in writing. Thank you for your
assistance.
Sincerely,
(Your name)
Enclosures: (List what you are enclosing)
Identity Theft Kit
Sample Dispute Letter
for Existing Accounts