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Counter Demands By Party To Whom Presentment Made
COUNTER DEMANDS BY PARTY TO WHOM PRESENTMENT MADE
To: [Name of holder of instrument]
[address of holder of instrument]
[Name of the undersigned], the undersigned, of [address of the undersigned], [city of the undersigned], [state of the undersigned], has received your letter of [date of letter], in which you state that you are the holder of a negotiable instrument on which the undersigned is liable in the capacity of [Capacity of the undersigned]. Pursuant to (cite local enactment of UCC $ 3-501(b)(2)], the undersigned demands, without the intention of dishonoring the instrument, [describe demands, such as: the exhibition and production of the instrument, reasonable proof of your identity, and the surrender of the instrument when the undersigned makes full payment on it].
Dated:
Signature