Date: _______________
To: _______________
Reference is made to a certain promissory note under date of ____________, 19___, in the original amount of _____________.
You have defaulted under said note in that the installment due on __________, 19___, in the amount of ___________ has not been paid.
Accordingly, demand is hereby made upon you for full payment of the entire balance on said note in the amount of ___________________ , including accrued interest to date.
In the event the entire balance is not paid within the next seven days, I shall refer this matter to an attorney resulting in additional costs of collection.
Very truly,
______________________________
