Collection Letter for Delinquent Account

for Your State

This Collection Letter for Delinquent Account is used to inform a customer or client that their account is past due. This letter sets out the specifics regarding the past due amount and requests that the customer set up payment arrangements if necessary.

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This Collection Letter for Delinquent Account is used to inform a customer or client that their account is in a delinquent status. It sets out the account number, the current balance, due date and that payment is expected immediately. This letter also states that if the entire amount cannot be paid, the customer can contact the company to set up payment arrangements. A written Collection Letter for Delinquent Account is important because it will serve as a written record of communications between the parties about a past due account.

This Collection Letter for Delinquent Account contains the following:
  • Parties: Sets out the names of the company and the party who is delinquent with payment;
  • Delinquency: Sets out the specifics regarding the delinquent payment including the invoice number, amount and due date;
  • Other Arrangements: States that the customer is free to contact the company in order to set up payment arrangements if the entire amount cannot be paid.

Protect Yourself and Your Rights by using our attorney-prepared up-to-date forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Collection Letter for Delinquent Account
State Law Compliance: This form complies with the laws of all states
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#32823
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.

Collection Letter for Delinquent Account

This package contains:

1. Instructions & Checklist for Collection Letter for Delinquent Account
2. Collection Letter for Delinquent Account

Instructions & Checklist for
Collection Letter for Delinquent Account
?   This package contains (1) Instructions & Checklist for a Collection Letter for a Delinquent Account; and (2) Collection Letter for Delinquent Account;

?   This form is designed to assist you in drafting a collection letter demanding payment when an account it delinquent. 

?   Be sure to include any “enclosures” mentioned in the letter. If there are no “enclosures” you may delete “Enclosure” from the bottom of the letter.
?   Be sure to sign the letter and to make a copy before sending it out. 

?   Bracketed instructions may be included on this form to assist you in completing it and should be removed before printing. Generally in Microsoft Word, you can click on the bracketed instruction and start typing.

?   These forms are not intended and are not a substitute for legal advice. These forms should only be a starting point for you and should not be used without consulting with an attorney first. An attorney should be consulted before negotiating any document with another party.

?   The purchase and use of these forms, is subject to the Disclaimers and Terms of Use found at

[Your Name]
[Street Address]
[City, State  ZIP Code]
[phone number - optional]
[email address - optional]

November 9, 2010

[Name of Recipient]
[Company Name]
[Street Address]
[City, State  ZIP Code]

Ref: [Account/Invoice Number]Dear [Name of Recipient]:
It has come to my attention that your account is severely delinquent.

Your current balance of [Amount Due] was due on [Due Date]. This is unacceptable, and your payment is expected immediately. If you are unable to pay the entire amount, please contact us today to make payment arrangements.

Enclosed is a duplicate copy of your invoice. To avoid further collection activity on your account, please mail your payment today.

Thank you for your prompt attention to this matter.Sincerely,

[Your Name]
[Title if any or delete if none]


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