Fill and Sign the Letter Finance Agreement Form

Instruction: This is a model letter. Adapt to fit your facts and circumstances. Date Name Company Address City , State Zip Code Re:       Inc. v.       , Inc.,       and       d/b/a       , Inc. Policy No.:       Renewal No.:       Dear       : I appreciate your Date of Response response to my letter of Date . Enclosed herewith please find a copy of the       Finance Agreement which was forwarded to us by       with regard to financing the above referenced policy. I recognize that this agreement was not forwarded to       by       directly, however, it was the customary practice and the course of dealings between the parties that the agreement would be faxed to       from       , and that subsequent thereto,       would forward the appropriate amount for the financed premiums to       .       had financed several policies for       , including the Policy No.       of which Policy No.       was a renewal. Based on the circumstances,       was reasonable to assume that the funds for the finance premiums would be forwarded from       .       reliance was further substantiated by the fact that return premiums on Policy No.       were forwarded to       and       retained the funds. A copy of these checks are also enclosed. At no time did       ever notify       that it was not financing the subject policy even after       received return premiums to which it apparently was not entitled. As a result of       detrimental reliance on       , it has suffered damages which it is entitled to recover from       . Should you have any questions or desire to discuss this matter further, please do not hesitate to contact me. Sincerely,       By:             :       Enclosure cc: