Your Name/Name
Address
Postal Code/City
[Name of your bank]
Address
Postal Code/City
Done; [your city], on [précate the date].
Object : Dispute of payment for theft of bank card
Madam, Sir,
I am a holder of a debit account at your institution number [state your account number]. My bank card was stolen on [indicate date of theft]. However, I notice that a credit card payment was made later for an amount of [indicate the amount of the transaction]. In accordance with banking regulations, I would like to thank you for re-crediting this amount as soon as possible.
You will find attached a copy of the complaint I filed for this theft.
Waiting for it, please accept, Madam, Sir, my best regards.
[Your signature]