Copyright Envision Corporation. 2002. All rights reserved.

Protected by the copyright laws of the United States & Canada and by nternational treaties. ! S ""E#A" A$% S!& C!"' P&() * !E% !( % S!& *U!E+ PU*" S)+ (,,E& ,(& SA"E+ " CE$SE (& SU*" CE$SE+ # -E (& % SC"(SE !( A$' (!)E& PA&!'+ !) S P&(%UC! $ )A&% C(P' (& % # !A" ,(&.. A"" (,,E$%E&S / "" *E SUE% $ A C(U&! (, "A/.

November 24, 2013

Contact $a0e Address Address2 City+ State1Province 2ip1Postal Code

OBJECT: BAD CHECK NOTICE

%ear 3C($!AC! $A.E4+ 'o5 are according to law hereby notified that a chec6 dated 3%A!E4+ drawn on the 3*A$7 $A.E4 of 3P"ACE4 in the a0o5nt of 3A.(U$!4 has been ret5rned 5npaid with the notation that pay0ent has been ref5sed beca5se of non8s5fficient f5nds. /ithin 3$U.*E&4 days fro0 the receipt of this notice+ yo5 05st pay or tender to 5s s5fficient 0oneys to pay the instr50ent in f5ll. 'o5 are advised to 0a6e yo5r pay0ent at the following address9 3C(.PA$'4 3A%%&ESS4 3A%%&ESS "24 3C !'+ S!A!E 2 P4 Unless we receive good f5nds for said a0o5nt within 3$U.*E&4 days+ we shall i00ediately co00ence appropriate legal action to protect o5r interest. Upon receipt of replace0ent f5nds we shall ret5rn to yo5 the dishonored chec6.

Sincerely+

'o5r na0e 'o5r title :;00< =2>8?@AB yo5re0ailCyo5rco0pany.co0

Company Name Street+ City+ State1Province+ 2ip1Postal code !el9 :000< 00080000 1 ,aD9 :000< 00080000 www.yo5rwebsite.co0