Fill and Sign the Writing a Debt Settlement Agreement Letter with Sample Form

Notice of Nonpayment Page 1 of 3 [Date] To: [Name of Debtor] [Address of Debtor] [City,State,Zip of Debtor] SENT VIA CERTIFIED MAIL # __________________ To: [Name of Contractor] [Address of Contractor] [City,State,Zip of Contractor] SENT VIA CERTIFIED MAIL # _____ _____________ Re: ______________________________ v. [Name of Debtor] Amount Due: $ ____________ NOTICE OF NONPAYMENT [Corporate Seller] La.Rev.Stats § 9:4802(G)(2) Dear Debtor : In accordance with Louisiana Revised St atute 9:4802(G)(2) -(3), please accept this letter as a formal and legal notice that the above -stated amount is due to ________________________ (Seller) immediately. According to the Louisiana Private Works Act, codified in La. R.S. 9:4801 et. seq., Seller will file a statement of claim and privilege, commonly referred to as a “lien,” against the below identified property if payment of the above -statement amount is not made by you within ten (10) days from the date of this correspondence. The “lien” will be filed against the below -identified property to secure Seller ’s pri vilege on the supplies incorporated therein. Name and Address of Seller of Movables incorporated into the Property: Notice of Nonpayment Page 2 of 3 General Description of Materi als and Movables Provided : Description / Address of Property against Which Lien May Be Claimed : See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Furthermore, by signing below, the Seller herein formally states that the materials and movables described in the attached Exhibit B have been provided as contracted, and upon information and belief, have been incorporated, consumed and/or otherwise used in, on and/or about the property above -described. The Seller further states that the above -stated amount is due, unpaid and owing, and that the Seller has rights to sai d payment immediately. Upon recordation of the claim and privilege against the above -described property after ten (10) days from the date of this letter, inclusive of holidays and weekends, the Seller will seek the total amount owed, plus interest, record ation fees and any other damages, penalties, fees, costs and amounts entitled to it. Sincerely, Signature Print Name _____ _______________________________ Title _____ _______________________________ Name of Corporation Notice of Nonpayment Page 3 of 3 Sworn to and subscribed before me this ______ day of __________________ , 20 ______ Notary Public Certificate of Delivery I, , hereby certify that I have delivered this day a true and correct copy of the foregoing to Notice of Lease by: Personal Service Mailing a true and correct copy of the same by registered or c ertified U.S. Mail, postage prepaid, return receipt requested to , who is the Owner located at _____ _____________________________________. Certified or Registered Mail Number (s) : . So certified this the ______ day of __________________ , 20 ______ . Signature