Dear …

RE: Delinquent Account - __(Name/Account #)__

It has come to our attention that your account with __(Name of Organization)__ is currently over due. In accordance with the payment terms that you have agreed to, we request your prompt payment of __($amount)__. This outstanding balance must be cleared immediately.

Listed below is a recap of the agreed Terms of Payment:

__(here breifly describe the terms of payment)__

You must comply with these Terms of Payment in the future to keep your account in good standing. Delinquent accounts often suffer the consequences of deteriorated credit ratings and discontinued service. We are sure that you do not wish to have your account affected in this way, nor is it our desire to see that happen.

Therefore, we thank you for your immediate attention to this matter.

Yours truly,