Sample Demand Letter
Repair Demand Letter
Date: ………………..
To: ……………
You have not paid a debt owed to ……………….., which you incurred on …………………. The amount remaining unpaid on the debt is …………………. Demand is hereby made that this money be paid. Unless payment of this amount is received by the undersigned no later than ………….., a lawsuit will be brought against you in the Commercial Claims part of …………………… City Court in order to obtain a judgment against you.
Our records show that you have made the following payment(s) in partial satisfaction of this debt ……………………………………………………………………………………………………………………………………………….
A copy of the original debt instrument or other document underlying the debt is attached.
The names and addresses of the parties to the original debt transaction are:
If a lawsuit is commenced, you will be notified of the hearing date and you will be entitled to appear at the hearing and present any defenses you may have to this claim.
Sample Demand Letter for personal Injury
From
_________________
_________________
_________________
_________________
Date _________________, 20____
Dear _________________,
This letter is recognized as official notice that payment is being demanded for the car accident that occurred on _________________, 20____. The total demand amount, after calculating direct payments along with the pain and suffering of the event, is $______________.
A breakdown of the total amount is as follows:
INJURIES/TREATMENT: $______________
OUT-OF-POCKET EXPENSES: $______________
LOST WAGES/EARNINGS: $______________
PAIN AND SUFFERING: $______________
STATEMENT OF FACTS: CAR ACCIDENT
On _________________, 20____, at approximately ____:____ ☐ AM ☐ PM the following accident occurred as described: ____________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
INJURIES AND TREATMENT
Directly due to the car accident I had to sustain the following medical treatment: ______
______________________________________________________________________
______________________________________________________________________
OUT-OF-POCKET EXPENSES
As a result of the car accident I was required to come up with the following out-of-pocket expenses: _____________________________________________________________
______________________________________________________________________
______________________________________________________________________
LOST WAGES/EARNINGS
After the car accident, I lost the following wages and earnings as described: _________
______________________________________________________________________
______________________________________________________________________
PAIN AND SUFFERING
In consequence to the described events, I suffered the following: __________________
______________________________________________________________________
______________________________________________________________________
After careful consideration of the issues involved in this claim, and a review of jury verdicts and insurance company settlements with similar fact patterns, I believe the total demand amount is represents a fair and equitable settlement amount.
Sincerely,
_________________