LIST OF FREE LEGAL FORMS
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No representation or warranty as to legality, accuracy, correctness or acceptance of these forms by any State or jurisdiction is indicated. Should you decide to use any of the forms in your legal affairs, consult with an attorney.
NOTICE-DISPUTED BALANCE
Date:
To:
We acknowledge receipt of your bill dated ___________,
20__, indicating an account balance of $_______________. We
dispute said balance because
____ Goods have not been received.
____No credit for prior payment made in the amount of
$_________.
____ Goods were not ordered.
____ Goods were defective as per prior notice.
____ Goods are available for return as per our rights of
return and credit.
____ Other
Please adjust our account.
Very truly,
____________________________
Form 321
