Letter of Bad Check Notice : Please fill out the following form. Please print your completed form if you would to have a copy for your records.
Dear (Courtesy title and the last name of the person being notified),
Payment on your Check No. in the amount of $ _______________ tendered to us on (date with year) has been dishonored by your bank. We have verified with your bank that there are still insufficient funds to pay the check.
Accordingly, we request that you replace this check with a cash (or certified check) payment.
Unless we receive good funds for said amount within 7 days, we shall immediately commence appropriate legal action to protect our interests. Upon receipt of replacement funds we shall return to you the dishonored check.
Face amount of check : $
Service charge : $
Total amount due : $
Very truly yours,
Certified Mail, Return Receipt Requested
Typical Legal Forms Index
Letter of Bad Check Notice
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