03 May 2013

NAME OF DEBTOR
Address

Sir:

I am writing in behalf of my client, _________, regarding the non-payment of your obligation.

This letter serves as a formal notice to you that you are in default of your obligation to pay the sum of
______________ which was loaned to you in connection with ________________ on
__________________. The total amount of _______________ is now overdue and you have failed and still
refuses to pay the same despite repeated demands.

We will give you an opportunity to pay the amount due before suit is filed; however, payment must be made
in strict accordance with the terms of this letter. Full payment of the total amount due must be received by
my client within fifteen (15) days after receipt of this letter. Otherwise, we will have no alternative but
to exercise whatever rights and remedies we have under the law to enforce such payment, including but not
limited to the institution of legal proceedings against you to recover the aforesaid amount together with
accrued interest and other expenses.

Other than this letter, no additional demands to pay will be made upon you prior to suit being filed.

Sincerely,
_____________________

CONFORME/NOTED:
______________________