[Your Name]

[Street Address]

[City, ST ZIP Code]

[Date]

[Recipient Name]

[Title]

[Company Name]

[Street Address]

[City, ST ZIP Code]

Dear [Recipient Name]:

My most recent statement shows a charge in the amount of $[amount] on [Date]. This is a duplicate charge by the business, [Business Name].

I contacted [Business Name] and spoke with [Name], who declined to remove the duplicate charge, even though business records did not prove that two separate transactions were made at different times for the same amount.

Enclosed is a copy of my statement with the duplicate charge highlighted. I have also enclosed a copy of the bill on which the charge originally appeared, and a copy of the cancelled check showing that I paid that charge. Please remove the duplicate charge from my account. Thank you for your prompt attention to this matter.

Sincerely,

[Your Name]

Enclosure