Notice of Funds Due for Client - Template, Sample Form

NOTICE OF FUNDS DUE AND DEMAND FOR PAYMENT

This communication is an attempt to collect a debt, and any information obtained will be used for that purpose.

Date: ________

Sent Via: ________

To (Debtor/Client):

________
________

From (Creditor/Sender):

________
________
Phone: ________
Email: ________

RE: Outstanding balance / Account No. ________

§ 1. Notice of Amount Due. Please be advised that, according to the records of the undersigned (the “Creditor”), you (the “Debtor”) are indebted to the Creditor in the total outstanding amount of $________ (________) (the “Amount Due”), which sum remains unpaid as of the date of this notice.

§ 2. Itemization of the Debt. The Amount Due is itemized as follows:

1. Original principal balance: $________;
2. Accrued interest at the rate of ________% per annum: $________;
3. Late fee(s) and other charges: $________, calculated as follows: ________; and
4. Less any payments and credits received: $________.

§ 3. Basis of the Obligation. The Amount Due is owed in connection with goods and/or services provided by the Creditor on or about ________, described as follows:

________

§ 4. Default. Payment of the Amount Due was required to be made in full on or before ________. As of the date of this notice, the Debtor has been in default for a period of ________. The Amount Due is therefore past due and immediately payable.

§ 5. Demand for Payment. Demand is hereby made for payment of the Amount Due in full. Unless full payment is received within ________ days from the date of this notice, the Creditor reserves the right, without further notice to you, to pursue any and all remedies available at law or in equity to recover the Amount Due, together with any additional interest, late fees, court costs, and attorneys’ fees permitted by the underlying agreement and by applicable law. This letter may be introduced as evidence of your failure to pay.

§ 6. Accepted Methods of Payment. Payment may be made by any of the following methods:

________

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit esse cillum dolore eu fugiat nulla pariatur lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris.

§ 8. Disregard if Paid. If you have already paid the Amount Due in full, please disregard this notice and accept our thanks. If your payment and this notice have crossed in the mail, no further action on your part is required.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit esse cillum dolore eu fugiat nulla pariatur lorem ipsum dolor.

Sincerely,

_______________________________
Signature

________
________
On behalf of: ________