DATE

NAME OF COMPANY
Company Address

Attention : Mr. ____________________

Re : Notice of Dishonor and Unpaid Accounts Due

to ________________________

Dear Mr./Ms. __________________:

Based on records, you have an outstanding past due obligation in the total amount of
____________________________ Pesos (Php__________) and in fulfillment thereof, you have drawn
and issued in favor of our Company a check with the following details:

Date of Check Bank Check Number Amount Reason for Return

which upon presentment for encashment/payment was dishonored for reasons stated above, without you
giving any prior/proper notice, despite your assurances of their proper funding on its due dates.

In view thereof, FINAL DEMAND is hereby made upon you to pay the amount of
___________________________Pesos (Php000,000.00) within five (5) banking days from receipt
hereof. Should you fail/refuse to pay on the period specified herein, we shall be constrained, without
further notice to file the necessary legal actions against you.

Thank you.

Very truly yours,