Phoenix Police Department'S Identity Theft Victim'S Packet Page 11

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Sample Dispute Letter For Existing Accounts
Date
Your Name
Your Address
Your City, State, Zip Code
Your Account Number
Name of Creditor
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 or
Identity Theft Affidavit) supporting my position. Please investigate this matter and correct the fraudulent
(charge or debit) as soon as possible.
In addition, pursuant to…..as a victim of identity theft I am requesting that you provide me with copies of any
and all applications and business transaction records related to the fraudulent account(s). The copies of the
In
records can be (mailed to me at the address listed below or faxed to the number listed below).
addition, please make these records available to the Phoenix Police Department upon their
request.
Sincerely,
Your name
Enclosures: (List what you are enclosing.)

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