Date: ________

To: ___________ (Supplier)

We are in receipt of merchandise shipped to us pursuant to your invoice or order number ______ (no.), dated __________, 19____.

Certain goods as listed on the attached sheet are defective for the following reasons:

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Accordingly, we reject said defective goods, demand credit or adjustment and intend to re-ship said goods to you at your expense.

Please confirm credit issue and issue instructions for return of defective goods.

Very truly,

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