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[LETTERHEAD]

[Date]

Certified Mail

____________________________________

____________________________________

____________________________________

Re: Final Demand for Payment

Dear ________________________________:

Despite our efforts to resolve your past due account, payment on this account has still not been made.

We are informing you that this is your final notice and last opportunity to make payment.

Unless we have your check for $____________ within the next five (5) days, we shall immediately commence legal action against you. If the matter goes that far, you will also be liable for all attorney fees and court costs. Such an action may also adversely affect your credit rating.

If you have any questions or wish to discuss this matter, please call the undersigned immediately at (___) ___________.

Sincerely,

[Company]

By: ___________________________________

Title: ___________________________________