Sample Demand For Payment Letter Template

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Sample Demand Letter
Victims of bad checks are required to make at least one attempt to notify a check writer, by mail, to demand
payment of a check that is returned due to “Insufficient Funds,” “Non-Sufficient Funds.” The check writer must
be given five (5) days from receipt of the notice to respond to the letter. If, after that time, the matter has not been
resolved, the check can be referred to the District Attorney’s Check Enforcement Program. See the Program
Guidelines for more details on referring a check. Checks marked “Account Closed,” can be referred to the program
without notifying the check writer.
The sample demand letter below is suitable to send the check writer. Note: Victims of dishonored checks must not
make any threats of prosecution (written or oral) to enforce or enhance the collection or honoring of the check.
Be sure to date the letter.
(Company letterhead)
You can vary this text, but the text of a
demand letter must substantially con-
form to this wording.
You may require payment of any fees or
[Check Writer’s Name]
[Date]
charges imposed by your bank for the
[Address]
processing of the bad check. Please note
[City, State Zip]
that the Check Enforcement Program
can only collect a victim’s fee of up to
$10 per check.
Re: Notice of Dishonored Check
You are hereby notified that a check, number ______, issued
Keep a copy of the letter for your files.
by you on (date of check), drawn upon (name of bank), and
If it is returned as undeliverable, you
payable to (your business), has been dishonored and returned
should enclose the undelivered letter
without payment.
when you submit the check to the Check
Enforcement Program.
NOTICE: You have five (5) days from your receipt of this letter
to make payment of the full amount of the check [plus any bank
charges] at (location of your business.).
Calling the check writer:
You are further notified that in the event the above amount is
In the event you contact the check writer
timely paid in full, you will not be subject to legal proceedings,
by phone, you should provide essentially
either civil or criminal.
the same information as shown in this
sample letter.
Sincerely,
Of course, you are free to discuss the
matter with the check writer, but remem-
ber to avoid any threats of prosecution.
(Your signature)
FOR MORE INFORMATION
If you have questions about the Program or any of the dishonored checks you have referred, call us toll free at
1-888-240-6495. You can also visit the Program’s web site:
San Diego County District Attorney’s
Check Enforcement Program
P.O. Box 129011, San Diego, CA 92112

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