The Concerned Authority,
__________ (Name of Company),
__________ (Company Address)

Date: __/__/____ (Date)

Subject: Demand for advance payment refund


My name is _________ (name). This is to inform you that I made a payment of _________ (mention amount) in the name of advance payment for _________ (mention service).

I would like to inform you that I am not willing to go ahead and use your services, therefore I request you to kindly refund the deposited amount i.e. _______ (mention amount).

I shall be obliged for your quick response. In case of queries, you may contact me at the contact details mentioned below.

yours truly,
___________ (signature),
___________ (name),
___________ (mobile number)

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