Notice of Funds Due

Date: ________

Client Name: ________

Client Address:

________

Please be advised that you owe the party listed below funds in the amount of $________ (________).

This amount includes a late fee of the following: ________.

You have now been in default on payment for the following amount of time: ________.

These funds are owed to the party listed below due to services provided on ________. The services provided were as follows:

________

As these funds are past due, they were to be paid back in full by ________. As it has not yet been paid back, prompt action is required to satisfy your financial obligations to the party listed below.

If payment is not made within the next 5 (five) days, the party below reserves the right to take any legal action necessary to recover the full amount without further notice to you. Please be advised this letter may be used as evidence regarding your failure to pay.

Payment may be made via any of the following methods:

________

If you wish to discuss this matter further, please use the contact information listed below.

Sender Information:

________
________
Phone Number: ________