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- NOTICE DELINQUENT ACCOUNT
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- Date:
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- To:
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- Payment in the amount of $___________ was due to us on
- ____________, 19__ as compensation for the following debt:
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- To date, we have not received the $___________. Would
- you please mail a check to us immediately.
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- Very truly yours,
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- _________________________
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- Form 112
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