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Notice Of Dishonor--Promissory Note



NOTICE OF DISHONOR--PROMISSORY NOTE

To: [party liable on instrument]

[address of party liable ]


Please take notice that presentment of a promissory note for $[Amount of Note] Dollars made by [Name of maker], of [address of maker], [city of maker], [state of maker], and payable to [Name of payee], of [address of payee], [city of payee], [state of payee] was made on [date of presentment]. The undersigned, who is the present holder of the promissory note described above, presented the note to [Name of maker] and payment was demanded. [Name of maker] refused to make payment. The undersigned, therefore, looks to you for payment, including the payment of all interest, costs, and charges that have already accrued or that may accrue in the future by reason of the nonpayment of this promissory note.

Dated:


[Signature of holder]