(Date)
Mr./Ms. ______________
(address)
SIR / MADAM:
This is to inform you that your check (provide check details) issued last ___________ in the amount of _____________ has been dishonored by drawee bank due to (state reason).
Thus, please consider this letter as formal NOTICE OF DISHONOR and DEMAND to pay your obligation in the amount of ___________ due and outstanding as of (due date), plus legal interest that has accrued from time of demand.
Your failure to pay and make good on your obligation shall entail court action for violation of the Bouncing Check Law and applicable provisions of the Revised Penal Code, without prejudice to my right to recover damages, attorney’s fees, and costs of suit.
Sincerely,
(name and signature)