Sample Letter Format to ask for Refund or Debit Note

Many a times it so happens that our online transactions fail because of various reasons or we have returned certain goods for which we are entitled for a refund or debit note. In such a scenario, you can just follow a Debit note Letter Format to create your request. The Debit note Letter format for goods return is a simple letter which includes the information about the transaction along with the amount involved.

In this post, we have come up with Request for refund letter sample. You can simply use this Sample letter asking for refund or debit note.

Sample Letter Format Asking for Refund or Debit Note


Adam Smith

45 Raymond Street

New York

Date: January 26th, 2023


The Manager

ABD Hardware

New York

Sub : Regarding refund for failed transaction

Dear Sir/ Madam,

I am writing this letter to bring to your notice that on January 10th, 2023, I had made a purchase of a Dell laptop charger from your website I was directed on the payment gateway for the same and I had used my Visa Debit Card to make the payment for the same. I was charged on my card for the product an amount of $ 50 and I had received the message about the same on my phone.

Later I had received an email from your company which stated that my order has not been processed. I also received another email which stated that if the amount has been deducted from my bank account then it will get refunded to the source within 7 working days. It has been over ten days and still there is no refund that has been made to my bank account. I have also gotten in touch with my bank and they have no such refund under process.

I would request you to please look into this issue and have the amount credited back to the source or have a not issued to me for the same. For your reference, I have enclosed the details of the invoice with the letter and the copies of the emails received from your company and my bank.

For any further details on the same, please feel free to get in touch with me at 9898989898.


Adam Smith

Other Related Letter Formats

GST Refund Power of Attorney Letter
Request Letter Format for GST Refund
Letter to Income Tax Department for Refund
Debit Note Sample Format in Excel

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