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Payment Information Request



PAYMENT INFORMATION REQUEST

Date: [Date of letter]

To: [First name of debtor] [Last name of debtor]
[Company of debtor]
[Address of debtor]
[City of debtor], [State of debtor]
[Zip Code of debtor]

Dear [Mr./Mrs.] [Last name of debtor]:


Upon reviewing your account we have noticed that our efforts have been unsuccessful in handling the development of payment arrangements with you on the remainder of your past due balance.

We appreciate your business and would like to expidite the solution to this problem as soon as possible. My office hours are please call me during those hours so we can discuss this matter.

Our records show your current past due amount as $ [amount owed]dollars.

Sincerely,



Account Representative