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                            DEMAND FOR PAYMENT

Date:___________________________________

To:_____________________________________

Dear ______________________________:

Please be advised that your account with ____________________________________________ remains seriously overdue in the amount of ____________________________________________ DOLLARS ($____________), despite our numerous efforts to resolve the matter of your past due account.

This letter shall serve as your final notice before pursuing further legal means for collection of your overdue account. Unless we receive payment in the amount of ____________________________________________ DOLLARS ($____________) within ________________ (_____) days of the date of this notice, we shall be forced to immediately turn your account over for collection.

In order to avoid the additional costs of added interest, collection fees, and/or court costs, and to help preserve your credit rating, we suggest that you resolve this matter by immediate, full payment.

Sincerely,

____________________________________

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