Templates Consumer Protection Chargeback Dispute Kit - Texas
Texas Consumer Protection
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CHARGEBACK DISPUTE SUBMISSION

To: [Card Issuer Dispute Dept.]
From: [Cardholder Name/Address]
Date: [DATE]
Account Last 4: [####]
Transaction: [$], [DATE], [Merchant], [Location/Online], Auth/Receipt No. [####]

1. REASON FOR DISPUTE (SELECT)

  • Unauthorized/fraud (card not present/stolen).
  • Goods/services not received.
  • Goods/services not as described/defective.
  • Duplicate/incorrect amount/credits not processed.
  • Canceled recurring/returned merchandise.

2. FACTS AND STEPS TAKEN

  • Description of issue and any contact with merchant (dates, responses).
  • Cancellation/return dates, RMA numbers if any.
  • Outcome of merchant contact [no response/refused/partial credit].

3. REQUEST

  • Issue chargeback for [$] and credit my account; block future recurring charges (if applicable).

4. ATTACHMENTS

  • Receipts/invoices/order confirmations.
  • Communications with merchant (emails/chats).
  • Return proof (tracking, RMA).
  • Photos/videos showing defect/variance.
  • Police report/affidavit for fraud (if applicable).

Signed:
[Cardholder Name]

[// GUIDANCE: Texas cardholders may have additional state law remedies; this template is for issuer chargeback submission only.]

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