______ Address of Sender/Creditor____

________________________________
________________________________
_____________________

(Date)

RE: NOTICE OF DISHONOR OF CHECK

AND DEMAND FOR PAYMENT

M ____________

______________

Dear Sir/Madam:

This is to advise you that the check dated 3 August 2011, with Check No.
0538967 in the amount of Seventy Five Thousand Pesos (P75,000.00) which you
issued in my favor has been dishonored on 2 October 20143 on the ground that
the said account has already been closed.

When you issued the said check, you assured me that there are more than
sufficient funds in your bank account to cover the said amount. However,
the check was returned dishonored.

Pursuant to the provision of Batas Pambansa No. 22 in conjunction with Republic

Act 4885, I would ask you to make necessary arrangement for the payment in full
by the drawee bank of your check within five (5) banking days after receipt of this
notice. Needless to state, in this connection, your failure to do so is a prima facie
evidence of deceit constituting false pretense or fraudulent act punishable under
the law.

Please be guided accordingly.

Very truly yours,

XYZ