Sample
[DATE, ex. Wednesday, July 11, 2006]
[NAME, COMPANY AND ADDRESS, ex.
Robert Brown
XYZ Bank
1234 First Street
Suite 567
Anycity, Anystate 85245]
Dear [NAME, ex. Robert Brown],
In reference to your bank statement of [DATE, ex. July 30, 2006] for our [savings / checking] account #[ACCOUNT NUMBER], I kindly request that a copy of the debit memo for the following service charge be forwarded to me:
DATE AMOUNT
[LIST DATE & AMOUNT, ex
5/5/98 $21.00]
As we are unable to reconcile this charge, I would appreciate any clarifying information you may have.
Sincerely,
[YOUR NAME]