Credit Balance Confirmation Letter
Date
ABC Company
Street Address
City, ZIP
Dear Sir or Madam,
We are conducting a review of our Accounts Receivable records from prior periods and have identified debit and
credit balances that were removed from your customer account between January 1, 20XX and December 31, 20XX.
Please note that the periods in which these debit and credit balances were removed from your customer account may
be different than the transaction dates that originally gave rise to these debit and credit balances.
The effect of netting these debit and credit balances is a net credit balance of $__________________ for the period
of January 1, 20XX through December 31, 20XX.
Please check the appropriate box below and return this confirmation to us.
I have reviewed my records and have determined that the net credit balance listed above is owed to my
Company.
I have reviewed my records and was unable to determine whether the net credit balance listed above is
owed to my Company.
I have reviewed my records and have determined that the net credit balance listed above is not owed to
my Company as of December 31, 20XX.
I have reviewed my records and have determined that the net credit balance was settled after December
31, 20XX by receiving a subsequent payment. Please insert the date the payment was received by your
Company__________________________________.
I have reviewed my records and have determined that the net credit balance was settled after December
31, 20XX through a method other than those described above. Please insert the date the net credit
balance was settled and describe the methodology of how this balance was settled.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
__________________________
__________________________________ __________________________ __________ __________________
Print Name & Title Signature Date Tel. No.
________________________________________________________________________________________________
Updated Address (if applicable)
Should you have any questions concerning this request please contact the undersigned at 000-123-4567.
Sincerely,
John Q. Holder
Manager, Accounts Payable Department
XYZ Company
Form UP-51
8/09
