Commercial Claim Arising Out of a Consumer Transaction DEMAND LETTER To: _____________________________ Date: Name of Defendant _____________________________ _____________________________ Address You have not paid a debt owed _____________________________________________, which you incurred on ________________________________________, 20____. The amount remaining unpaid on this debt is $_____________________________. Demand is hereby made that this money be paid. Unless payment of this amount is received by the undersigned no later than _____________________________, 20___, a lawsuit will be brought against you in the Commercial Claims Part of the Court. If a lawsuit is brought, you will be notified of the hearing date, and you will be entitled to appear at the hearing and present any defense you may have to this claim. (If applicable) Our records show that you have made the following payment in partial satisfaction of this debt (fill in dates and amounts paid) _______________________________. A copy of the original debt instrument — your agreement to pay — is attached. [The names and addresses of the parties to that original debt instrument are: _____________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________ (to be completed if claimant was not a party to the original transaction)]. _________________________________________ _________________________________________ _________________________________________ Typed or Printed Name and Address of Claimant UCS-124 (Rev. 8/08) American LegalNet, Inc. www.FormsWorkFlow.com