Notice of Acceptance of Partial Payment of Balance Due

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This Notice of Acceptance of Partial Payment of Balance Due effectively acknowledges acceptance of a partial payment and the total amount due and owing on an account. This letter can be modified to meet your needs.

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This Notice of Acceptance of Partial Payment of Balance Due effectively acknowledges receipt of a payment which will be credited against an account. This notice sets forth that a check was received but that a balance is still due and owing on the account. It confirms the amount remaining and when this amount should be paid. A written Notice of Acceptance of Partial Payment of Balance Due will prove useful in the event there are disagreements or confusion regarding the exact balance due on an account and the date on which it must be paid.

This Notice of Acceptance of Partial Payment of Balance Due includes the following:
  • Parties: Name and address of the debtor;
  • Payment Received: Acknowledges that a payment was made on a specific account and the amount of this payment;
  • Balance Due: Sets forth that the payment was a partial payment, total balance due on the account and date on which the balance must be paid.

Protect yourself and your rights by using our attorney-prepared forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Notice of Acceptance of Partial Payment of Balance Due
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#28668
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.
Notice of Acceptance of Check in
Partial Payment of Balance Due


Date (ie. July 31, 2000)
Name of Debtor (Person Owing Debt)
Address of Debtor
Dear Sir or Madam:
We acknowledge receipt of a check from you in the amount of Amount of Check being Tendered (ie. $2,000.00) toward your account relating to Describe Nature of Creation of Indebtedness (the contracting services we provided to you).
We accept payment of the check without acknowledgment of any conditions or stipulations attached to the payment.
We confirm that we have applied the check against the balance owing on your account which results in the amount of Amount Remaining Due and Payable (ie. $3,400.00) remaining due and payable. Please remit payment of this amount on or before Date Final Payment is Due (ie. August 31, 2000) to avoid further charges.
Yours truly,
Your Name

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