Fill and Sign the Dayton Police Department Checkcredit or Form

NOTICE OF DISHONORED CHECK Date: ___________________________To: You are hereby notified that Check No. ___________, dated ___________ in the amount of ___________, drawn upon ___________ and payable to ___________ has been dishonored for the reason of ________________. Pursuant to Illinois law (720 ILCS 5/17-1a), you have thirty (30) days from receipt and acceptance of this notice (or attempted delivery to your last know address that is either refused or unclaimed) to tender payment of the total amount of the check, the total amount due being $___________. Unless this amount is paid in full within the time specified above, you may be liable for damages of treble (triple) the amount so owing, but in no case less than $100.00 nor more than $1,500.00, plus attorney fees and court costs in addition to the amount owing upon such check or order. After the expiration of thirty (30) days, but prior to the hearing of any court action, the defendant (you) may tender to the plaintiff (me) and the plaintiff shall accept as satisfaction of the claim, an amount of money equal to the sum of the amount of the check and the incurred court costs, and service and attorney fees. Contact me at [phone no.] ________________ for the current amount owed prior to hearing.Mail or deliver the total amount to the following: Notice Issued by:Signature: ________________________________Print Name: _______________________Title: _______________________