Notice of Dishonored Instrument
Date ________________________________________________
Name of Issuer ________________________________________
Street Address ________________________________________
City and State _________________________________________
You are according to law notified that an instrument dated ______, _____________, drawn on the ________________ Bank of _______________ in the amount of _______________ has been returned unpaid with the notation the payment has been refused because (of nonsufficient funds) (the drawer does not have an account). Within ten days from the receipt of this notice,
you must pay or tender to ________________________________
(Holder or agent or representative)
sufficient moneys to pay such instrument in full and any collection fees or costs not in excess of forty dollars.
The notice may also contain a recital of the penal provisions of this section and the possibility of a civil action to recover any collection fees or costs authorized by this section.
N.D.C.C. § 6-08-16.2