DEMAND FOR PAYMENT

Date: {{letter_date}}

From (creditor):
Name: {{creditor_name}}
Address: {{creditor_address}}
Phone: {{creditor_phone}}
Email: {{creditor_email}}

To (debtor):
Name: {{debtor_name}}
Address: {{debtor_address}}

Re: Amount past due — {{matter_reference}}

1. The debt

1.1. You owe the undersigned ${{principal_amount}} for: {{debt_description}}
1.2. The debt arises from {{source_document}} dated {{source_document_date}}.
1.3. Payment was due on {{original_due_date}} and has not been received. As of the date of this letter the account is {{days_overdue}} days past due.
1.4. Interest of ${{interest_amount}} has accrued to date at the rate of {{interest_rate}}% per year, as provided by the agreement or by the law of {{governing_state}}.
1.5. Total now due: ${{total_due}}.
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2. Demand

2.1. Payment in full of ${{total_due}} is demanded within {{payment_deadline_days}} days of the date you receive this letter, that is by {{final_deadline_date}}.
2.2. Make payment by {{payment_method}}, payable to {{payee_name}}.
2.3. Payment details: {{payment_details}}
2.4. A partial payment is applied first to accrued interest and costs and then to principal, unless the creditor states otherwise in writing.

3. If payment is not received

3.1. If the full amount is not received by the deadline, the creditor may pursue the remedies available to it, including filing suit in the appropriate court, including small claims court where the amount qualifies.
3.2. The creditor will also seek court costs, accruing interest and, where the agreement or state law allows it, attorney's fees.
3.3. This letter is a demand for payment of a debt the creditor is owed directly. If you dispute this debt in whole or in part, respond in writing before the deadline and state the reason.
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4. Settlement and contact

4.1. The creditor is willing to discuss a payment plan or another reasonable resolution if you make contact before the deadline above.
4.2. Contact for this matter: {{contact_details}}
4.3. Additional notes:
{{additional_notes}}

4.4. This letter is delivered by: {{delivery_method}}. Keep proof of delivery — a court will usually want to see that the demand actually reached the other side.
4.5. Statutes of limitation set a deadline for suing on a debt, and they differ by state and by the kind of debt. Rules on interest rates and on collection letters differ as well, and some states, including California, Florida and Texas, apply their debt collection laws to a creditor collecting its own consumer debt, not only to collection agencies. Do not threaten any step the creditor does not intend to take. This template is not legal advice.

Sincerely,

Name: {{creditor_name}}
Signature: {{creditor_signature}}
Date: {{letter_date}}

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