Request for Payment

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Request for Payment which firmly requests that an overdue payment be made as soon as possible. This letter request contains all payment information, including invoice number and amount, and can easily be customized to fit your needs.

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This Request for Payment will clearly and effectively request that an individual or company who is behind on a payment send it as soon as possible. This request is in an easy to use letter format and sets out the payments which are overdue, including invoice number, date and amount. It also sets forth the amount of interest or late charges which are due and owing. A written Request for Payment is important as it will serve as written record that a request for payment was made in the event litigation must be filed.

This Request for Payment contains the following:
  • Parties: Name and address of the debtor;
  • Payment Information: Sets out the outstanding balance(s) which are due and if interest and late charges are owed;
  • Request: Requests in a firm manner that payment be made on all outstanding accounts as soon as possible.

Protect yourself by using our forms which are prepared by attorneys and up-to-date.

This attorney-prepared packet contains:
  1. General Instructions
  2. Request for Payment
State Law Compliance: This form complies with the laws of all states
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#22023
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.





Request for Payment







This Packet Includes:
1. Information
2. Request for Payment
 





Information
Request for Payment




This form should be used to make the initial request for payment from an overdue account payable.  It should be sent when you have decided that an account is in delinquent status.  It is intended to promote payment on the overdue account.  To prepare this form, you will need to enter the name of the company or person with the delinquent account; the date, amount and invoice numbers of the past-due invoices; any interest or late charges which have been assessed; and any credits or payments which have been made on the account. Be sure to keep a record of this request. Generally, making a copy of the actual request that is sent and placing in the file for the overdue account is the easiest method for this.







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REQUEST FOR PAYMENT



Date: _________________________

To:


RE: Payment of Account

Dear _________________________ :

Regarding your account, please be advised that we show the following outstanding balance on our
books:

Invoice # _________________________
Date _________________________
Amount $ _________________________

Invoice # _________________________
Date _________________________
Amount $ _________________________

Interest on account at ___ % (_________________________ percent)    Amount $ _____________
Late charges Amount    $ _________________________
Less credits and payments    Amount $ _________________________

TOTAL BALANCE DUE    AMOUNT $ _________________________

Please be advised that we have not yet received payment on this outstanding balance. We are certain that this is merely an oversight and would ask that you please send the payment now. Please disregard this notice if full payment has been forwarded to us.

Thank you for your immediate attention to this matter.

Very truly,

__________________________
Signature

__________________________
Name

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The forms purchased where very helpful to me as I am self emplyed i was able to use the form to collect on my outstanding debt owed to me. Thank you


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