EGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER

PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

PAYMENT REQUEST LETTER

August 18, 2021

[DATE]
[DEBTOR]
[STREET ADDRESS]
[CITY][STATE][ZIP]

Dear Mr./Mrs. [DEBTOR],

In February of 2017 I performed several [DESCRIPTION] services in your home for an agreed price of $5,000. While
you made the first down payment as agreed, you have refused to make the final $2,500 payment. I have made
repeated attempts to collect, but you have not come forward with the money. I am requesting that you make the
payment in full by June, 30 July 2017, or you need to make specific arrangements to repay the balance.

Upon receiving this message, I will await your response to this letter no later than June 10, 2017. If this matter is
not resolved by the time as mentioned above, I reserve the right to start legal proceedings to recover the debt
without further notice to you and this letter may be tendered in court as evidence of your failure to pay in time.

Sincerely,

<SIGNATURE>

<FORMAL NAME>

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EGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR DISCLOSE TO ANY OTHER
PARTY, THIS PRODUCT IN HARD COPY OR DIGITAL FORM. ALL OFFENDERS WILL BE SUED IN A COURT OF LAW.

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