Date

Dear _____,

Your check made payable to [Company] in the amount of [$] has been returned to us for insufficient funds. The bank will not allow us to redeposit the check since it has already been presented on two occasions.

Within 10 days of this letter, please submit the amount owing, plus an additional $25.00 for our service charge for returned checks, in the form of a cashiers check, money order or cash to:

[Company]
[address]
[city,state,zip]

If you have any questions, you can contact me at the above telephone number during office hours.

Respectfully,