______ Address of Sender/Creditor____

________________________________

________________________________

_____________________

(Date)

                                                                               RE: NOTICE OF DISHONOR OF CHECK

M ____________

______________

______________

Dear Sir/Madam:

I regret to advise you that __________________________ Check No. _______________ dated

______________ for the  sum of P_____________ issued by you in payment of
__________________________ has been dishonored by the drawee bank for the reason: drawn against
insufficiency of fund/ account closed.

Pursuant to the provision of Batas Pambansa No. 22 in conjunction with Republic Act 4885, I would ask
you to make necessary arrangement for the payment in full by the drawee bank of your check within
five (5) banking days after receipt of this notice. Needless to state, in this connection,  your failure to do
so is a prima facie evidence of deceit constituting false pretense or fraudulent act punishable under the
law.

Please be guided accordingly.

Very truly yours,

____________________