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Bad Check Notice Collection Letter

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This document provides a sample template for a collection demand letter to be used by an individual seeking to collect delinquent accounts that are past due and where the initial attempt at payment by the customer was made by check that was subsequently dishonored by the bank. For a company or individual that is owed money, it is essential to document any request for payment in writing. This letter is intended to provide standard language and can be modified to fit the needs of any individual or company attempting to collect payment on a delinquent account.

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									This document provides a sample template for a collection demand letter to be used by
an individual seeking to collect delinquent accounts that are past due and where the
initial attempt at payment by the customer was made by check that was subsequently
dishonored by the bank. For a company or individual that is owed money, it is essential
to document any request for payment in writing. This letter is intended to provide
standard language and can be modified to fit the needs of any individual or company
attempting to collect payment on a delinquent account.
                                                                                    MAY 14, 2013

Sender’s Address



Recipient’s Address

Account Number:
Invoice Number:


         Re: Dishonored Check and Demand for Payment on Past-Due Account

Dear ______________,

As you are aware, on or about ____________, you issued a check to ____________, check no.
____________, in the amount of ____________. As you are further aware, the check was drawn
upon your account at ____________, and was dishonored by said bank.

The check was issued by you as purported payment of funds due from you to ____________ in
exchange for goods and/or services supplied pursuant to Purchase Order ____________ and as
reflected in Invoice ____________ dated ____________. ______________ has performed all of
its duties owed by it by supplying to you goods and/or services that you ordered and that you
have accepted.

Previous efforts have been made to collect the outstanding balance due and owing. You have
been contacted via mail, telephone and/or e-mail. However, to date, you have failed to pay all
funds due and owing. Your current outstanding balance due and owing is ____________.

This letter serves as a final attempt to collect the overdue funds before legal proceedings will be
initiated. ____________ respectfully demands that you pay the full amount of all outstanding
funds due and owing, plus a service charge of ____________, within 14 days of the date of this
letter. The total amount due and owing is ____________.

If payment is not received as requested, ______________ will have no choice but to initiate legal
proceedings, which may include the filing of a civil lawsuit, seeking to collect the full amount
due and owing. If you have any questions, or to make arrangements for payment, please contact
____________ at ____________ or by phone at ____________.



                                                        Cordially,




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