Demand For Payment On Promissory Note 

Date:

To: (Debtor’s Representative Name)

Address

I refer to your promissory note dated ____(Date)_________ in the original principal amount of $ ______________ to which the undersigned is holder.

You are in default on this note because the following payment(s) have not been made.

Payment Date Amount Due

_________________________ $______________ _________________________ $______________ _________________________ $______________ _________________________ $______________

Accordingly, demand is made for full payment of the entire balance of $______________ due under the note. If payment is not received within ________days, this note shall be turned over to our attorneys for collection, and you shall be responsible for all reasonable costs of collection.

Sincerely,

_________________________________

Secured Party Representative