Name of your counsel and address

nd
2 Floor ABC Building, 123 Lacson St.,
Telephone No. (034) 434- 1234

July 1, 2014

Name of borrower and address

Unit 1, 20th Floor, Reverentia Bldg.
123 Lacson St.,

Dear Name of borrower:

I am writing to notify you of the dishonor of the following check no.

__________ dated__________ for the amount of
________________(Php__________):

The said check was dishonored because the same was drawn
against insufficient funds.

Banco de Oro Check No. 325396- P300,000.00

Banco de Oro Check No. 325399- P300,000.00
Banco de Oro Check No. 325405- P250,000.00
__________
TOTAL P 850,000.00

Despite several demands made to you by my client, however, you

have refused to settle these past due account to date.

In connection therewith, my client through my office is formally

serving you this final demand to settle your aforestated obligation
plus 25% attorney’s fees within FIVE (5) days from receipt hereof.

Otherwise, much to my regret, my client shall have no other

choice but to file her contemplated legal action(s) against you in order
to protect her best interests. On the other hand, my client prefers that
you settle this obligation extra-judicially with my office within the
aforesaid period. Your preferential attention on this matter will be
deeply appreciated. Thank you.

Very truly yours,

ATTY. Your counsel

Counsel for Dirk Siron

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At My Instance:

Dirk Siron
Client
This notice of dishonor was delivered by:

Registered Mail by:

Personal Service by:

ACKNOWLEDGMENT
(for personal delivery only)

I acknowledge receipt of this Notice of Dishonor on_____________

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