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Wisconsin Consumer Act: Open-End Credit Plan

Billing Statement Sample

SAMPLE BILLING STATEMENT

side 1

BILLING STATEMENT

Send Inquiries To: (Merchant’s Name and Address)
______________________________________________
Account Number:________________    Billing Date:_________

NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION.

Date

Quantity

Description

Amount

       


Previous Balance

$

- Payments

$

- Credits

$

= Adjusted Balance

$

+ Finance Charge

$

+ New Purchases

$

= New Balance

$

Minimum Payment Amount Due $_________________

To Avoid Additional FINANCE CHARGE Pay New Balance By _________________

To the Adjusted Balance we apply a Periodic Rate of 1.5% (ANNUAL PERCENTAGE RATE 18%) to compute the FINANCE CHARGE. The Adjusted Balance is the Previous Balance less all payments and credits made since the last billing date.

side 2

BILLING RIGHTS SUMMARY

 In Case Of Errors Or Questions About Your Bill

If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet (at address shown on your bill) as soon as possible. We must hear from you no later than 60 days after we sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights.

In your letter, give us the following information:
· Your name and your account number;
· The dollar amount of the suspected error;
· Describe the error and explain, if you can, why you believe there is an error. If you need more information, describe the item you are unsure about.

You do not have to pay any amount in question while we are investigating, but you are still obligated to pay the parts of your bill that are not in question. While we investigate, we cannot report you as delinquent or take any action to collect the amount in question.