YOUR COMPANY NAME
YOUR COMPANY STREET ADDRESS
YOUR COMPANY CITY, STATE, ZIP
YOUR COMPANY PHONE AND FAX NUMBER

TODAY'S DATE

RECIPIENT'S COMPANY
ATTN: RECIPIENT'S NAME
RECIPIENT'S STREET ADDRESS
RECIPIENT'S CITY, STATE, ZIP

To inform us as to why your account balance of $___ remains unpaid please circle the appropriate response below and /or fill in the essential information.

1. Our account has not been paid because ___________________________________________________________________________________

_____________________________________________________________________________________________________________________

2. Our account will be paid on or before _____________________, 2009.

3. Our check for full payment is enclosed.

4. Our check for $__________ in partial payment is enclosed.  The balance will be paid before _____________________, 2009.

Your immediate reply is greatly appreciated.