NOTICE OF ASSIGNMENT TO OBTAIN DISCHARGE FOR PRESENTMENT
DELAY
To:
________________________ (maker)
________________________ (address)
________________________
Due to your delay in making presentment of an
instrument on which __________, of __________ (address), __________ (city),
__________ County, __________ (state), the undersigned, is the maker and on
which ____________, of __________ (address), __________ (city), __________
County, ______________ (state) is the payee, the undersigned claims that any
liability to you has been discharged by virtue of __________ (if applicable,
cite local enactment of UCC $ 3-415(e)) and the assignment that is enclosed in
this notice.
Dated: __________
_____________________________________________
Signature
