(DATE)

NAME
ADDRESS

Dear Sir/Ma’am:

I write in connect with the transaction we had sometime in (year).

You have secured a transaction from me and you have executed a document
in my favor which is the receipt which bear your name and signature. The
record shows that you have failed to comply with your obligation to pay me as
elaborated in the said document and failed to tender payment on due date.

On several occasions, I verbally requested you to tender payment. However,

you have refused or failed to comply with your obligations. Your unjustified
refusal to settle your obligation gives me the ground to resort to legal remedies
against you with corresponding claim for damages.

However, we would like to give you a final chance to settle all your obligations
within a period of 30 days from receipt of this demand. Your failure to do so will
give me no other recourse but to burden you with legal remedies.

Note that if we settle this without resorting to court proceedings, you will only be
paying for the amount you owed to me with corresponding legal interest per
annum.

I hope you shall have the wisdom to choose the proper approach in order to
avoid prosecution.

Thank you!

Respectfully yours,

(NAME)