NOTICE OF DISHONOR - NONPAYMENT
To:
_____________________ (Party Liable on Instrument)
_____________________ (Address)
_____________________
Please take notice that presentment of a
_________________ (Draft), for __________
___________ ($__________) drawn by
____________________ (Drawer), of _______
______________ (Address), __________ (City),
__________ (County), ____________ (State), on ______________________ (Drawee),
of ____________________(Address), ______________ (City), _____________
(County), _______(State), endorsed by ______________, of
__________________________ (Address), ____________ (City), _____________
(County), __________ (State), and payable on __________ (Date) to
_______________________ (Payee), of __________________________ (Address),
_____________ (County), _______ (State), was made on ____________ (Date). _______________________, the undersigned of
____________________ (Address), __________ (City), __________ (County),
__________ (State), who is the present holder of the ___________________
(Draft) presented the ___________ (Draft) to _________________________ (Drawee)
for payment. The __________ (Draft) was dishonored when ______________________
(Drawee) refused to make payment. The undersigned looks to you for payment,
including all interest, costs, and charges that have already accrued or that
may accrue in the future by reason of nonpayment of this _______________ (Draft).
Dated: _____________________
____________________________
(Signature of Holder)
