BAD CHECK STATUTORY FORM LETTER
DATE: TO: ADDRESS: CITY:
STATE:
ZIP CODE:
You are hereby notified that the following instrument(s): Number Date Amount Name of Bank
drawn upon and payable to , (has) (have) been dishonored. Pursuant to Georgia law, you have ten days from receipt of this notice to tender payment of the total amount of the instrument(s) plus the applicable service charge(s) of $ and any fee charged to the holder of the instrument by a bank or financial institution as a result of the instrument(s) not being honored, the total amount due being dollars and cents. Unless this amount is paid in full within the specified time above, a presumption in law arises that you delivered the instrument(s) with the intent to defraud and the dishonored instrument(s) and all other available information relating to this incident may be submitted to the magistrate for the issuance of a criminal warrant or citation or to the district attorney or solicitor-general for criminal prosecution. Effective July 1, 2000.
D:\bad check statutory form.wpd