Fill and Sign the Demand Repayment Form

________ ___ , 20 ___ VIA CERTIFIED MAIL - RETURN RECEIPT REQUESTED ____________________ __________________ __________________ ________ , LA ______ RE: ________ Bank Note# ________ Balance: $ ________ Note# ________ Balance: $ ________ Dear __________________ : I have been retained by __________________ Bank concerning the monies owed by you. There is a balance due on Note # ________ in the amount of $ ________ and on Note # ________ in the amount of $ ________ . These loans became delinquent when the payments for the month of ________ 20       , were not promptly paid. The Bank has informed me that they will give you one of the following options: l) Pay all delinquent obligations due as follows: Note # ________ - $ ________ Note # ________ - $ ________ Total - $ ________ ; 2) Pay the full balance of both notes - $ ________ ; 3) Renew the loans adding the real estate as collateral; or 4) Leave matters as is and face repossession and litigation. Please contact my office within fifteen (l5) days from receipt of this letter, or I will have no other alternative but to begin legal proceedings to protect my client's interest. If legal proceedings are necessary, then you may also be liable for Court costs and attorney's fees. If you dispute the amounts shown, or if you wish to make arrangements to exercise one of the first three options listed above, please contact my office at the number listed above. Cordially, __________________ cc: __________________ Attn: __________________