NOTICE DEFAULT ON INSTALLMENT OF PROMISSORY NOTE Account Customer Address

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NOTICE: DEFAULT ON INSTALLMENT OF PROMISSORY NOTE Account #: Customer: Address: Date: Telephone: City: State: Zip: NOTE# DATE AMOUNT OF NOTE PAYMENT DUE DATE AMOUNT OF PAYMENT TOTAL OF PAST-DUE PAYMENTS With regard to the above Promissory Note(s) listed above, of which you are the maker, you have defaulted on the installment payment(s) due and listed above. We are demanding payment of this past-due amount. If payment is not received by us within 10 days from the date of this notice, we will seek to enforce our rights under the Promissory Note(s) for collection of the entire balance. Sincerely, ______________________________

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