Commerce Bank - Cardholder Dispute Letter - EMV Chip Fraudulent PIN-based Transactions

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Cardholder Dispute Letter - EMV Chip Fraudulent PIN-based Transactions

Submitter Information

First Name (required)

Last Name (required)

Resolve the errors marked in red before submitting again.

Did you open your account at Commerce Bank in Corinth, Mississippi?

Cardholder Name

Card Number

	First 6 Digits of Card Number	Last 4 Digits of Card Number

Transaction(s) Disputed

	Tran/Local Date	Tran Amount	Merchant/Bank
Transaction 1	(required)	(required)	(required)
Transaction 2
Transaction 3
Transaction 4
Transaction 5

Choose only one option (required)

Date card was stolen (if applicable)

If you participated in one transaction at the merchant/bank location, but NOT the transaction listed, enter the Authorized Transaction Amount (if applicable)

If you participated in one transaction at the merchant/bank location, but NOT the transaction listed, enter the Authorized Transaction Date (if applicable)

Date

Phone Number

Email Address

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