Final Overdue Notice





According to our records, we have not received payment of your past due balance with us. By letters dated ______________,_______ and ___________________, _______ immediate payment on your account was demanded. If we do not receive your check within seven (7) business days, we will be forced to refer your account to a collection agency. Such action may damage your credit rating.

To avoid having your account referred to a collection agency, immediately mail your check in the amount of ________________________ ($_________) to the following address:

If your payment has been mailed, please disregard this notice.


Account Representative




These forms are provided AS IS. They may not be any good. Even if they are good in one jurisdiction, they may not work in another. And the facts of your situation may make these forms inappropriate for you. They are for informational purposes only, and you should consult an attorney before using them.

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