DEMAND FOR COLLATERAL

Date: ________________

To: _______________________

Under an agreement dated ___________________, you pledged certain collateral as security for the prompt repayment of a note of even date. Presently, you are in default under the note because: _____________________________________________.

As the holder of the note, and agreement, demand is hereby made of you to forthwith deliver up and surrender the collateral attached in Schedule "A" to this letter at: ____

__________________________________________.

________________________________ ________________

Signature Date