________
________

Date___________

________
________

RE: Past-Due Child Payments

Dear ________,

The purpose of this letter is to remind you of the support provisions described in ________ dated ________. According to this document, you are obligated to pay child support in the following amount: $________ (________) with the following frequency: weekly.

As of the date this letter is being sent, you have not complied with these support provisions. My records indicate that support payments totaling $________ (________) are past due.

Please respond as soon as possible of your intention to comply with your support obligations. If you do not respond by ________, legal action to enforce your obligations may be taken.

Sincerely,

________