Notice of Dishonored Check

for Your State

Will inform an individual that a check has been dishonored and returned by the giver's bank. This notice informs the individual of the amount of the check, any policy or fees in regard to a bad check and if legal action will be taken.

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This document should be sent to anyone whose bad check has been returned to you from a bank. It provides notice to the person of the dishonored check, notifies them of your policy and charges regarding service charges for bad checks, and provides a time limit for clearing up the bad check prior to legal action.

This form can be used in all states.
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 Dishonored Check







This Packet Includes:
1. Information
2. Notice of Dishonored Check
 





Information
Notice of Dishonored Check




This document should be sent to anyone whose bad check has been returned to you from a bank.  It is generally a good idea to attempt to have the check cleared twice before beginning the collection process with this letter.  This provides time for last minute deposits to clear and will often allow the check to clear.  This document gives notice to the person of the dishonored check, notifies them of your policy and charges regarding service charges for bad checks, and provides a time limit for clearing up the bad check prior to legal action. Once the check has been paid, return the original check to the debtor.







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NOTICE OF DISHONORED CHECK

Date: _________________________

To:


Dear _________________________ :

Please be advised that payment on your Check # _________________________ , dated _________________________ , 20 ____ , in the amount of $ _________________________ , has been refused by your bank, _________________________ , of _________________________ , City of _________________________ , State of _________________________ . We have verified with your bank that there are insufficient funds to pay the check.

Therefore, we request that you immediately replace this check with cash or a certified check for the amount of the bad check and an additional $ _________________________ as our service charge.

Unless we receive such payment within 10 (ten) days from the date of this letter, or such further time as may be allowed by state law, we will immediately commence appropriate legal action for recovery of our funds. Please be advised that such legal proceedings may substantially increase the amount owed to us and may include pre-judgment interest and legal and court costs.

Upon receipt of payment, we will return your check to you. Thank you for your prompt response to this serious matter.

Very truly,

_______________________
Signature

_______________________
Name
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22041

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