Demand For Payment On Promissory Note 
Date: 
To: (Debtor’s Representative Name) 
Address 
I refer to your promissory note dated ____(Date)_________ in the original principal amount of $ ______________ to which the undersigned is holder. 
You are in default on this note because the following payment(s) have not been made. 
Payment Date Amount Due 
_________________________ $______________ _________________________ $______________ _________________________ $______________ _________________________ $______________ 
Accordingly, demand is made for full payment of the entire balance of $______________ due under the note. If payment is not received within ________days, this note shall be turned over to our attorneys for collection, and you shall be responsible for all reasonable costs of collection.
Sincerely, 
_________________________________ 
Secured Party Representative