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

We have not received payment on your overdue account and would appreciate it if you take a moment to explain why.  Please check the applicable reason and return to this office:

___ We need copies of unpaid invoices: ____________________

___ We have credits outstanding: ____________________

___ Payment has been mailed on _____________________, 2009.

___ Payment will be mailed on _____________________, 2009.

___ Other:  ________________________________________________________________________________________________________

Please use the reverse side if more space is needed.

Thank you for your immediate attention.