Demand for Payment – Third Notice
[Your Street Address]
[City, State and Zip]
[Recipient’s Company, if applicable]
[Recipient’s City, State and Zip]
RE: Past Due Payment for Account # [insert account #]
Your account remains overdue in the amount of $______________. This payment was originally
due on _____________, 20__. A late fee of $__________ has now been assessed to your
account. Your payment of $_________________ is due immediately.
Although we wish to resolve this matter amicably, we are prepared to take legal action if
necessary. If you would like to discuss your account or payment options, contact us at
_______________________. If you have already sent in your payment, please disregard this
Thank you for your prompt attention to this matter.
[Insert Your Name and Title]