Demand Payment

Demand For Payment On Promissory Note Date: To: (Debtor’s Representative Name) Address I refer to your promissory note dated ____(Date)_________ in the original principal amount of $ ______________ to which the undersigned is holder. You are in default on this note because the following payment(s) have not been made. Payment Date _________________________ _________________________ _________________________ _________________________ Amount Due $______________ $______________ $______________ $______________ Accordingly, demand is made for full payment of the entire balance of $______________ due under the note. If payment is not received within ________days, this note shall be turned over to our attorneys for collection, and you shall be responsible for all reasonable costs of collection. Sincerely, _________________________________ Secured Party Representative

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