NOTICE OF DISHONOR - NONACCEPTANCE
To:
______________________ (party liable on instrument)
______________________ (address)
______________________
Please take notice that a __________ (draft) drawn
by __________ (drawee), of __________ (address), __________ (city), __________
County, __________ (state), on __________ (drawee), of __________ (address),
__________ (city), __________ County, __________ (state), to pay
__________________ Dollars ($__________) on __________ (date), to __________
(payee), of __________ (address), __________ (city), __________ County,
__________ (state), was presented by __________, the undersigned, of __________
(address), __________ (city), ______________ County, __________ (state), who is
the present holder of the ___________________ (draft), to __________ (drawee)
for acceptance on __________ (date), at __________ (address), __________
(city), __________ County, __________ (state), at __________ (time). __________
(Drawee) refused to accept the _______________ (draft). Therefore, the
undersigned looks to you for payment, including all interests, costs, and
charges that have already accrued or that may accrue in the future by reason of
the nonacceptance of this __________ (draft).
Dated: _____________________
___________________________
(Signature of Holder)
