Creditors Adjustment Bureau

FREE DEMAND FORM		Date:
		Reference No.

Creditor


Name:
Address:
City:	State:	Zip:

Attention Creditor : This “Final Notice” letter is part of the comprehensive services offered by Creditors Adjustment Bureau. Should you choose to use this letter and then receive payment from your debtor by the deadline date, please notify us immediately and there will be no charge for this service. Otherwise, on the day after the deadline date, the account is automatically assigned to Creditors Adjustment Bureau for immediate collection and the normal rate schedule will apply.

VS.

Debtor


Name:
Address:
City:	State:	Zip:
Telephone

It has been brought to our attention that your account in the amount of $ is delinquent.

If payment is not received within days, your account will be assigned to Creditors Adjustment Bureau.


Expiration Date	BY:(Name-Title)