| Your Name Your Address Your City, State, Zip Code |
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| Date | |
| Name of Creditor Billing Inquiries Address City, State, Zip Code Re: Disputed Charges resulting from identity theft I am writing to follow up on my telephone call to you of (date of phone call) to dispute a fraudulent [charge/debit] on my account in the amount of $___. I am a victim of identity theft, and I did not make this [charge/debit]. I am requesting that the [charge be removed/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 is a copy of my Identity Theft Report supporting my position (include a copy of the police report as well if you have made one). Please investigate this matter and correct the fraudulent [charge/debit] as soon as possible. Sincerely, Enclosures: |
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