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CARDHOLDER STATEMENT OF DISPUTE Customer Name: Account Number: Card Number: Dollar Amount $ Transaction Date: Posting Date: Merchant Name: City/State: I am disputing the above charge due to the following
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How to fill out cardholder statement of dispute

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How to fill out cardholder statement of dispute:

01
Obtain the cardholder statement of dispute form from your credit card issuer. This form is usually available on their website or can be requested by phone or mail.
02
Fill out your personal information accurately on the form, including your name, address, and contact number. This information will be used to identify your account and communicate with you regarding the dispute.
03
Provide details of the disputed transaction. Include the date of the transaction, the merchant's name, and the amount charged. It is helpful to attach any supporting documentation, such as receipts, invoices, or communication with the merchant, to substantiate your claim.
04
Clearly explain the reason for the dispute. State why you believe the charge is incorrect, unauthorized, or fraudulent. Be concise but specific, providing relevant facts or evidence that support your argument.
05
Indicate the desired resolution. Specify whether you seek a refund, a credit, or any other specific action to resolve the dispute.
06
Sign and date the cardholder statement of dispute form. Your signature affirms that the information provided is accurate and complete to the best of your knowledge.
07
Make copies of the completed form and any supporting documentation for your records before submitting the form to your credit card issuer.

Who needs cardholder statement of dispute?

01
Cardholders who have discovered fraudulent or unauthorized charges on their credit card statements.
02
Cardholders who were billed for goods or services that were not received or were of poor quality.
03
Cardholders who believe they were incorrectly charged or overcharged for a transaction.
04
Cardholders who have attempted to resolve a dispute directly with the merchant but were unsuccessful in obtaining a satisfactory resolution.
It is important to note that each credit card issuer may have slightly different procedures or requirements for filling out a cardholder statement of dispute. Therefore, it is advisable to consult your credit card issuer's website or contact their customer service for specific instructions or any additional documentation they may require.
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The cardholder statement of dispute is a document used by credit card holders to report unauthorized or incorrect charges on their account.
Any credit card holder who notices unauthorized or incorrect charges on their account is required to file a cardholder statement of dispute.
To fill out a cardholder statement of dispute, the cardholder must provide their personal information, details of the disputed transaction, and any supporting documentation.
The purpose of the cardholder statement of dispute is to notify the credit card issuer of any unauthorized or incorrect charges and request for a refund or investigation.
The cardholder must report their personal information, details of the disputed transaction, the reason for disputing the charge, and any supporting documentation.
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