Sample Letters
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Reimbursement Letter for Money (Free Samples)
Use these sample reimbursement letters for money as templates for your formal notification.


​​Sample 1 - Reimbursement Letter for Money
Requester’s Name
Requester’s Address
City, State, Zip Code

DATE

Financial Services
Name of University
Address of University
City, State, Zip Code

Subject: Reimbursement for Defective Pans

To Whom It May Concern:

I bought a pot and pan set with a lifetime warranty from your company at our local department store. Because it has been more than 5 years since I purchased them, the store will no longer take them back.

​I do have my receipt and the upc from the box. Most of the pans have fared well, but the main skillet, which gets a lot of use, has not been so lucky. The Teflon lining on the inside of the pan is flaking away and is unsafe to use. 


I know that your company doesn’t make these pans anymore, but I would like a refund in the amount of this skillet’s purchase price. Skillets of comparable size and style go for around $40 from your company.

​I would be happy to either have a new skillet or the money to replace the one that I lost. The warranty I have says that either one can be done according to what the manufacture feels necessary. I have sent along pictures of this skillet so that you can see the damage and that it has normal wear and tear on it. 


I look forward to a resolution for this matter. I can be reached at 555-980-7899 anytime. 

Sincerely,

Requester’s Signature
Requester’s Name Printed
List of Enclosures

​Sample 2 - Reimbursement Letter for Money
Date

Lender’s Name
Lender’s Address
Lender’s phone number
Lender’s email address

Recipient's Name
Recipient's Address

RE: Repayment of Loan


Dear Mr/Ms Recipient’s Name,

This letter is in regards to a loan that I made to you in the amount of [$500] on [DATE] for the down payment of your new car. At that time, we agreed that this loan was to be paid in full by [DATE].

As of today, [DATE], you have not given me any payments towards this loan. It has been one year since the loan was to be repaid in full. I request that, on the receipt of this letter, you repay the amount in full.


If I do not receive payment in full before the end of this year, I reserve the right to take further legal action to recover the amount of the loan without further notice to you.

This letter may be given in evidence in court of your failure to pay. If it becomes necessary to go to court, I will expect you to pay the applicable interest, filing and attorney’s fees, and any other related costs.


I will be happy to answer any questions you may have if you call me at [555-1234].

Your immediate attention to this matter will be appreciated.

Sincerely,

Lender’s Signature
Lender’s Name
List any Enclosures

​Sample 3 - Reimbursement Letter for Money
Requester’s Name
Requester’s Address
City, State, Zip Code

DATE

Financial Services
Name of University
Address of University
City, State, Zip Code

RE: Reimbursement of Tuition Fees

To Whom It May Concern:

I am a student in the summer semester of Name of University. I was enrolled in the History of India course that began on DATE. This letter is to request a reimbursement for my tuition fee of $225. 

According to the refund policies of the university written the Student Manual, a reimbursement will be granted if the student withdraws from the course within six weeks from the beginning of the course. As you can see from the enclosed withdrawal slip, I am within that limit. 

The reason I am forced to withdraw from this course is because of a car accident in which I broke both my legs. I will be undergoing physical therapy for the next eight weeks and will not be able to attend class.

​Enclosed is a letter from my physician, DR. NAME, as well as a copy of the hospital records. Thank you for your attention to this matter, and I look forward to receiving the full r
eimbursement.

If you have any questions or need further information, I can be reached at 555-123-4567 or at [email protected] 

Sincerely,

Requester’s Signature
Requester’s Name Printed
List of Enclosures

​Related Articles
  • Writing a Purchase Order Cancellation Letter (with Examples)
  • Writing a Security Deposit Refund Letter (with Sample)
  • How to Write a Tuition Reimbursement Letter (with Samples)​

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