Bad Check Notice

SAMPLE BAD CHECK NOTICE

Date: ___________________

To:
Dear Sir or Madam:

A check drawn by you has been returned to us unpaid because of insufficient funds.
The check is described below:

Check number: ___________________________________________________________
Date of check: ____________________________________________________________
The check was drawn of the following bank: __________________________________
The check is made payable to: ______________________________________________
The check is signed by: ____________________________________________________
We request that, no later than ____________ (date), you replace this check with cash
payment in the amount of $______________ plus a return check fee of $_____________ .
Please send your payment in the total amount of $________________ to the undersigned
at the address given below. We appreciate your prompt attention to this matter. Please

contact us at ( ) ___ - ______ if you have any questions.

Sincerely,
______________________________
______________________________
______________________________
______________________________