[Your Name]

[Company Name]

[Street Address]

[City, ST ZIP Code]

[Date]

[Recipient Name]

[Street Address]

[City, ST ZIP Code]

Dear [Recipient Name]:

Is there some reason you have not paid your bill of $[amount]?

Your signed credit agreement states that you agree to pay this bill in [number of payments] installments. Your [payment number] payment is now overdue by [number of days] days.

Please remit payment of $[amount] by [date]. If you have any questions or concerns regarding this bill, please contact me at [phone number].

Failure to send the full amount by [date], may mean that your account is turned over to a collection agency. Your prompt attention is required to resolve this issue.

Sincerely,

[Your Name]

[Title]