<Date>

<Recipient’s Name>
<Position>
<Company Name>
<Company Address>

Dear Mr. / Ms. / Miss <Recipient’s Last Name>

This letter is to remind you that you have an unpaid invoice from the previous month.
The invoice has the following number: <invoice number>, dated <date>, for <amount>.

We ask that you settle this amount immediately via bank transfer or check. As a result
of your failure to honor your commitment to pay the outstanding balance by the end of
the month, we will now apply a 5 percent daily surcharge to the total.

We will have to put a freeze on any new credit in the interim until this debt is paid off.

Sincerely,

<Signature>
<Sender’s Name>
<Position>