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Demand Letter
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| Simply complete the Demand Letter form below then click on View Results to see your completed
contract. |
We have demand letters for the following situations: debt owed, NSF checks and stopped payment on a check, insurance claim letter, and certain actions required to be performed. |
LawDepot's Demand Letter:
- is a letter demanding an outstanding payment or action be performed.
- lets you detail why the payment or action required, how it should be carried out (eg. payment in full, payment over time), directions for the reply and a deadline for the reply.
- a letter to an insurance company offering to settle your claims against it for certain losses, expenses and damages.
- may be used to maintain some goodwill between business parties while encouraging payment, in order to avoid expensive litigation.
- may contain the "threat" that if it is not adhered to, the next communication between the parties will be through a formal legal proceeding.
| If you want to make a demand to a tenant or landlord, try our Landlord & Tenant Notices. |
We regularly maintain this contract. Last Modified: April 2008
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Debt owed: This demand letter should be used when one or more creditors are seeking to collect a debt which is past due from one or more
debtors. This letter outlines the amount of the debt, and also provides a description of the transaction creating the debt. Immediate payment of the
debt can be demanded, or a settlement may be proposed to resolve the matter without involving litigation. The debtor is advised of the potential legal
consequences for failing to adhere to this demand letter. |
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Stop payment: This demand letter should be used when a person owing money to a creditor makes payment in the form of a check, but then
later instructs the bank to stop the check. The creditor can use this demand letter to secure payment of the debt, plus bank and mailing fees. This
letter advises the debtor of the legal consequences for failing to adhere to this demand letter. It also urges the debtor to resolve the debt with the
creditor, if the debtor believes he/she has a good faith dispute. |
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NSF check: This demand letter should be used when a check written by a debtor is returned by the debtor's bank due to insufficient funds or the
account being closed. This letter outlines the check details (number, date and payment amount) and explains why the bank returned the check. The
debtor is advised to pay the amount of the check plus bank and mailing costs, in order to avoid legal proceedings. |
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Action required: This demand letter should be used when one or more people require a certain action be performed by one or more people.
This letter outlines the action to be performed by the receipients of this letter. Documentation may be provided to explain and backup this demand.
The recipients of this letter are advised of the potential legal consequences for failing to adhere to this demand letter. |
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Insurance Claim: This demand letter should be used when an accident victim is trying to reach a
settlement with an insurance company. The letter outlines the claim information, including details of
the incident such as injuries and expenses. It also asks for a final settlement amount within a specified
deadline in forebearance of the claimant's right to sue. It advises the insurer that if they do not reach
a settlement, the claimant will pursue their claim in court. |
Debt Owed Demand Letter
| Check to Show Hints for Completing this Form |
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This software has the flexibility to let you quickly create the Demand Letter you want.
It does this by providing many options with appropriate defaults.
Leave an answer empty if you want a blank line in place of the answer in order to complete it after printing, but before it is signed. |
| Debtor Information | (Person who owes the debt) |
| Type of Debtor: |
| Number of Debtors: |
First Debtor's Information |
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| Name: |
Please fill in the debtor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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Second Debtor's Information |
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| Name: |
Please fill in the debtor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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Third Debtor's Information |
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| Name: |
Please fill in the debtor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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Fourth Debtor's Information |
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| Name: |
Please fill in the debtor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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| Name: |
Please fill in the debtor's name. |
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
| Is there a contact person? |
Contact's Person's Name:
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Contact Person's Gender:
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| Creditor Information | (Person who is to have received the debt) |
| Number of Creditors: |
First Creditor's Information |
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| Name: |
Please fill in the creditor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: | |
| Type of Creditor: |
Name of Person Signing for Creditor:
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Second Creditor's Information |
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| Name: |
Please fill in the creditor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: | |
| Type of Creditor: |
Name of Person Signing for Creditor:
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Third Creditor's Information |
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| Name: |
Please fill in the creditor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: | |
| Type of Creditor: |
Name of Person Signing for Creditor:
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Fourth Creditor's Information |
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| Name: |
Please fill in the creditor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: | |
| Type of Creditor: |
Name of Person Signing for Creditor:
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| Description of debt: |
| (e.g. | *thirteen cases of Adidas footwear supplied to you by us at your request on January 1st, 2004 |
| *landscaping services provided to you by us at your request between January 1st, 2004 and June 30th, 2004 |
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| *monies due to me pursuant to the terms of our sales contract dated January 1st, 2004 for the sale of my shares of ABC Inc.) |
Type of Document Provided:
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| Settlement Information |
| Creditor willing to settle? |
| (Use this section if you are willing to accept payment terms or a lesser amount to get paid now instead of incurring the cost of litigation.) |
| Amount of lesser sum: | (e.g. 500.00) |
| Number of days to receive settlement from date of letter: | (e.g. 15) |
| Amount of installment: | (e.g. 2000.00) |
| Frequency of installment: | Week | Month | Year |
| Day of the week payment is due: | |
| (e.g. Monday, Wednesday, Friday) |
| Day of the month payment is due: | |
| (e.g. first, second, tenth) |
| Day of the year payment is due: | |
| (e.g. July 1st, May 3rd, June 6th) |
| First installment due on: | (e.g. July 1st, 2004) | |
| Payment should be sent to: |
| Settlement terms: |
| (Settlement terms should include the total amount of payment that will be accepted by the creditor and the schedule by which the payment will be made, including the date on which the payment will commence. If the payment is to be made by installment, the amount of each installment should be included. |
| e.g. Without prejudice to my rights for full recovery of the Debt, I am prepared to accept $4000.00 as full and complete settlement of the Debt if the payment is made on or before June 30, 2004. |
| e.g. Without prejudice to my rights for full recovery of the Debt, I am prepared to accept as full and complete settlement, payment of the Debt in installments of $400.00 per week until the Debt is fully paid with payments to commence on June 30, 2004. |
| e.g. Without prejudice to my rights for full recovery of the Debt, I am prepared to accept delivery of 10 personal computers as full and complete settlement of the Debt if delivery is made on or before June 30, 2004.) |
| Signing Details | |
| Demand Letter to be signed? |
Date of Demand Letter:
(e.g. August 19, 2008) |
NSF Check Demand Letter
| Check to Show Hints for Completing this Form |
|
This software has the flexibility to let you quickly create the Demand Letter you want.
It does this by providing many options with appropriate defaults.
Leave an answer empty if you want a blank line in place of the answer in order to complete it after printing, but before it is signed. |
| Check Writer's Information | (Person that wrote the check) | |
| Name: |
Please fill in check writer's name. |
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
| Type of check writer: | |
Gender:
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Is there a contact person?
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| Name of contact: | |
| Contact person's gender: |
| Payee's Information | (Person who was given the check) | |
| Name: |
Please fill in the payee's name. |
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| Type of Payee: | |
Is there a contact person?
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Contact person's name:
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| Check Information | ||
| Currency: | ||
| Amount of check payment: | (e.g. 4,000.00) | |
| Name of bank that stopped the check: |
| (e.g. First National Bank) |
| Number of the check that was stopped: | (e.g. 001, 010, etc.) |
| Check was issued: | (e.g. June 4th, 2004) |
| Reason for check being returned by bank: |
| Payment Information | ||
| Amount of bank fees: | (e.g. 5.00, 10.00, etc.) | |
| Cost to send letter: | (e.g. 5.00, 10.00, etc.) | |
| Number of days to make payment: | (e.g. 30) |
| Signing Details | |
| Demand letter to be signed? |
Date of demand letter:
(e.g. August 19, 2008) |
Stop Payment Demand Letter
| Check to Show Hints for Completing this Form |
|
This software has the flexibility to let you quickly create the Demand Letter you want.
It does this by providing many options with appropriate defaults.
Leave an answer empty if you want a blank line in place of the answer in order to complete it after printing, but before it is signed. |
| Check Writer's Information | (Person that wrote the check) |
| Name: |
Please fill in check writer's name. |
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
| Type of check writer: | |
Gender:
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Is there a contact person?
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| Name of contact: | |
| Contact person's gender: |
| Payee's Information | (Person who was given the check) |
| Name: |
Please fill in payee's name. |
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| Type of Payee: | |
Is there a contact person?
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Contact person's name:
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| Check Information | ||
| Currency: | ||
| Amount of check payment: | (e.g. 4,000.00) | |
| Name of bank that stopped the check: |
| (e.g. First National Bank) |
| Number of the check that was stopped: | (e.g. 001, 010,) |
| Check was issued: | (e.g. August 19, 2008) |
| Payment Information | ||
| Amount of bank fees: | (e.g. 5.00, 10.00, 25.00) | |
| Cost to send letter: | (e.g. 5.00, 10.00, 15.00) | |
| Signing Details | |
| Demand letter to be signed? |
Date of demand letter:
(e.g. August 19, 2008) |
Note: You must enter the signing date in the format of August 19, 2008, for example.
You entered "" for the signing date. In order for the date to appear in this contract,
please click on Change Answers and enter your date in the suggested format.
Action Required - Demand Letter
| Check to Show Hints for Completing this Form |
|
This software has the flexibility to let you quickly create the Demand Letter you want.
It does this by providing many options with appropriate defaults.
Leave an answer empty if you want a blank line in place of the answer in order to complete it after printing, but before it is signed. |
| Recipient's Information | (Person who has to perform action) |
| Type of Person: |
| Number of Recipients: |
First Recipient's Information |
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| Name: |
Please fill in the recipient's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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Second Recipient's Information |
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| Name: |
Please fill in the recipient's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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Third Recipient's Information |
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| Name: |
Please fill in the recipient's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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Fourth Recipient's Information |
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| Name: |
Please fill in the recipient's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
Gender:
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| Name: |
Please fill in the recipient's name. |
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) |
| Is there a contact person? |
Contact's Person's Name:
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Contact Person's Gender:
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| Demander's Information | (Person who is demanding the action be performed) |
| Number of People Making Demand: |
First Demandor's Information |
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| Type of Person: | ||
| Name: |
Please fill in the demandor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: |
Name of Person Signing for Demandor:
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Second Demandor's Information |
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| Type of Person: | ||
| Name: |
Please fill in the demandor's name. |
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| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: |
Name of Person Signing for Demandor:
|
Third Demandor's Information |
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| Type of Person: | ||
| Name: |
Please fill in the demandor's name. |
|
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: |
Name of Person Signing for Demandor:
|
Fourth Demandor's Information |
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| Type of Person: | ||
| Name: |
Please fill in the demandor's name. |
|
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g.
City, State, Zip Code) |
| Phone number: | |
| E-mail address: | |
| Fax number: |
Name of Person Signing for Demandor:
|
| Demand Information |
| Description of action to be performed: |
| (e.g. | *return all the Adidas footwear samples that were provided to you by our company. |
| *finish painting the deck at my house that I hired you to do in the contract dated April 1, 2006 and that I paid you to do.) |
| Type of Document Provided: |
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| Signing Details | |
| Demand Letter to be signed? |
Date of Demand Letter:
(e.g. July 4th, 2004) |
Insurance Claim Demand Letter
| Check to Show Hints for Completing this Form |
|
This software has the flexibility to let you quickly create the Demand Letter you want.
It does this by providing many options with appropriate defaults.
Leave an answer empty if you want a blank line in place of the answer in order to complete it after printing, but before it is signed. |
Claimant's Information
| Name: | |
| Address: | |
| (e.g. Suite #, Building Name, Street) | |
| (e.g. City, State, Zip Code) | |
| Contact Numbers: | |
| List the phone numbers at which the insurance company can contact you. |
Insurance Company Information
| Name: |
Please fill in the Insureance company's name. |
|
| Address: | ||
| (e.g. Street, City, State and Zip Code) |
| Is there a designated contact person?: |
| Contact Person's Name: |
| Claim Information | |
| Claim Number: | |
| Enter the claim number provided by the insurance company (e.g. PN123456789). | |
| Date of Incident: | |
| Details of Incident: | |
Describe to the best of your ability the incident that led to the claim (e.g. On August 19, 2008 I was in an automobile accident while driving...). In your description you should include: where you were and what you were doing at the time of the accident, how the accident happened, accident details such as the make and model of any vehicles involved and a precise street location, why the insured person is responsible for the accident, and any documentation you have to support your argument (such as a police report, medical record, etc.). You may want to consider attaching copies of any documentation available. |
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| Injuries | |
| Did you Suffer any injuries? | |
| Details of Injuries |
Describe to the best of your ability the injuries incurred as a result of the accident. (e.g. injuries to my spleen, head and neck, facial lacerations). Be sure to include a description of what your injuries were at the time of the accident and what they are now, your medical diagnosis, the medical treatment you have undergone and any continuing medical treatment you will need, inconveniences you have had because of the injuries, and any documentation to support your assertions. |
| Expenses | |
| Did you incur any expenses? | |
| Details of Expenses: |
Describe to the best of your ability the expenses incurred as a result of the accident (e.g. hospital bills totalling $1000, rental car fees of $350, missed 5 days of work resulting in a loss of $400 in income, etc.). Common insurance claim related expenses include medical treatment and lost income. You should include both expenses already incurred as a result of the accident, and those that you will incur because of the accident. You may want to consider providing copies of any documentation you have, such as receipts. |
| Damages | |
| Did you suffer any other damages? | |
| Details of Damages: |
Describe to the best of your ability any other damages incurred as a result of the accident that you have not already described (e.g. damage to car totalling $20,000, pain and suffering, etc.). |
| Settlement Information | |
| Amount: $ | |
| Enter the amount you are demanding from the insurance company. This amount should be more than your claim is worth so that you have room to negotiate a settlement. | |
| Deadline: | |
| Enter the number of days in which the insurance company has to respond or make payment (e.g. 7, 14, 21, etc.). | |
Signing Details
| Date Demand Letter Sent | |

