Your Préname/Name
Address
Postal Code/City
[Name of your bank]
Done à [your city], on [précate the date].
Object : Challenge to a double prélèvement
Madam, Sir,
I am a dépôt account holder in your establishment num;roté [state your account num;rot]. I have received my account statement for the month of [indicate which month your statement corresponds to]. I notice that there was an obvious error. Indeed, a loan appears in duplicate on the same date and for the same amount.
Therefore, I request that you return the sum of [indicate the amount that the bank must return to you]as soon as possible.
In the meantime, please accept, Madam, Sir, my best regards.
[Your signature]
Draw your signature