Demand for Payment
From (Creditor):
Name/Company: [Creditor Name]
Address: [Creditor Address]
Email: [Creditor Email]
Phone: [Creditor Phone]
To (Debtor):
Name/Company: [Debtor Name]
Address: [Debtor Address]
Email: [Debtor Email]
Phone: [Debtor Phone]
1. Date and Subject
Date: [Date]
Subject: Demand for Payment – Overdue Account
2. Account Reference
Agreement/Invoice: [Agreement/PO/Invoice No.] dated [Agreement Date].
Goods/Services: [Brief description].
3. Itemized Amount Due
Principal: $[Amount]
Late Fees (if applicable): $[Amount]
Credits/Adjustments: $[Amount]
Total Due: $[Total Amount]
4. Documentation & Statement Copy
Attached: account statement covering [Period], and delivery/performance confirmations, if available.
5. Payment Deadline & Method
Please remit the Total Due by [Final Payment Date] via [Bank/Wire/ACH/Portal] to [Payment Instructions].
6. Good‑Faith Dispute Window
If you dispute any line item, notify us in writing within [X] days, including documents supporting your position.
7. Consequences of Non‑Payment
Absent payment or a documented dispute by the deadline, we may escalate to collections or initiate formal proceedings.
8. Settlement/Plan Option (Optional)
We can consider a short payment plan or reasonable settlement if proposed in writing before the deadline.
9. Communications Channel
Direct all correspondence to [Contact Person] at [Email/Phone]. Please reference the account number on all replies.
10. Proof of Delivery
This letter may be sent by email and tracked mail; a copy of the service record will be retained.
Sincerely,
Signature: __________________________
Printed Name: [Signer Name]
Title/Position: [Title]
Date: [Date]
