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©
December 24, 2020
C
o Contact Name
p Address
y Address2
City, State/Province
r Zip/Postal Code
i
g
h
t OBJECT: REFERRAL OF ACCOUNT TO COLLECTION AGENCY

E Dear [CONTACT NAME],

n
v This debtor has not responded to our requests for payment. Our only alternative now is the actual placing
i of the account for collection.
s As a final courtesy to this firm, we ask that you take no drastic steps toward collection until [DATE]. If we
i do receive payment in full by this date, we will notify you to cancel the claim. Otherwise, you are to
o proceed in any manner you deem advisable to collect our money.
n
A statement of account is attached and a copy of this letter is being sent to the debtor so that they will
have ample time to pay before the expiration of the above mentioned date.
C
o
r Sincerely,
p
o
r
a Your name
t Your title
i (800) 123-4567
o youremail@yourcompany.com
n
.

2
0
0
2
.

A
l
l

r
i
Company Name
Street, City, State/Province, Zip/Postal code Tel: (000) 000-0000 / Fax: (000) 000-0000
www.yourwebsite.com