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Get Credit Dispute Forms Fillable

Erchant on (mm/dd/yy) in an attempt to resolve this dispute. Merchant response: Sale Date Amount Merchant Name Effective Date On Stmnt $ I have examined the charges made to my Visa account. I am disputing the item above for the following reason: PLEASE CHECK ONLY ONE BOX WHICH BEST EXPLAINS YOUR DISPUTE: 1. I have canceled services on (mm/dd/yy) because cancellation # 2. I certify that the above charge was not.

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