_________________________, 20_____ (Date of Letter) ______________________________ (Name of Company) ______________________________ (Room, Floor or P.O. Box) ______________________________ (Street Address) ______________________________ (City, State and Zip Code) RE: ______________________________ (Refund for Overpayment) Dear Accounting Clerk: Subsequent to my (our) payment posted the _____ day of ________________, _____ (year), it was noted that the amount paid was in excess of the billing statement. In review of my (our) records, it is apparent that I (we) have overpaid my (our) account in the amount of $____________. In conjunction with the foregoing, it is respectfully requested that the refund be directed to the undersigned or the amount be credited to my (our) account with evidence of that credit to the undersigned within the next _____ days. Should your records differ in any way with the foregoing, please provide immediate notice to the undersigned. Otherwise, I (we) anticipate the refund within _____ days, as noted above, or a credit to my (our) account with written acknowledgment from you within _____ days, as noted above. Thanking you in advance for your immediate attention. Very truly yours, ______________________________ (Signature) ______________________________ (Address) ______________________________ (City, State and Zip Code) ______________________________ (Phone Number) LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006 This is not a substitute for legal advice. An attorney must be consulted.