Date:
Account Number: Balance Due: $
Dear __________:
We have attempted to collect your account on a voluntary basis. Since you have chosen to ignore our bills, calls and letters, we have no alternative except to turn this debt over to our authorized collection agent.
To prevent this from happening, payment in full must be received in our office within 10 days of the date on this letter.
Don't forget that you agreed to pay all of our collection costs; including collection agency fees, court costs, and attorney fees.
Send a check or money order today. For your convenience we also accept all major credit cards. To pay by credit card, fill out the information at the bottom of this letter and return it to our office today.
Sincerely,
___________________, Accounts Receivable Administrator
P.S. - This debt may also appear on your credit record.
Check Credit Card Type: __ VISA __ MasterCard __ Discover __ American Express
Credit Card Number ____________________ Expiration Date __________ Print Cardholder Name ___________________________________________
Cardholder Signature ____________________________________________
Amount Paid $ ______________ DRSI - final
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