BAD CHECK NOTICE FORM

Date:
To:

Dear
Payment on your Check No.___ in the amount of $_____, tendered to us on __________ , 2002 , has been dishonored by your bank. We have verified with your bank that there are still insufficient funds to pay the check.

Accordingly, we request that you replace this check with a cash (or certified check) payment.

Unless we receive good funds for said amount within _____days, we shall immediately commence appropriate legal action to protect our interest. Upon receipt of replacement funds we shall return to you the dishonored check.
It is our policy to retain the old check until a new check is issued and cleared as we have unfortunately realized that there are some people who do not honor their debts. If a new check is not issued and the old check does not clear we will pursue legal action to the full extend of the law.

We are confident that you will resolve this matter and look forward to doing business with you again in the future.

     Very truly,



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