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SAMPLE FORM OF NOTICE OF DISHONOR OF CHECK

______ Address of Sender/Debtor____


________________________________
________________________________
 
_____________________
(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,

__________________________________

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