|Will the Drawer's account be charged and no further credit extended, if payment on the unpaid check is not made immediately?
Enter an X to include the sentence: "If payment is not made immediately, the Drawer's account will be charged and no further credit will be extended until the amount is paid in full".
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Yes, the unpaid check will be returned.
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HWill the unpaid check be returned to the Drawer upon receipt of payment?
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Payment to be mailedOther delivery method
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+How should the replacement payment be made?
Enter an X to indicate that the replacement payment should be mailed.
Use this space to describe how the replacement payment should be made. For example, "by courier service." or "in person at Gene's Pet Shop.".
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Yes, the following agreement exists:
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pIs there an agreement between the Drawer and Payee that provides for the charging of interest on unpaid amounts?
Enter an X if there is an agreement between the parties that provides that interest will be charged on any unpaid balance (for example, a Purchase Agreement, Statement, or Invoice). Press "Next" if no such agreement exists.
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A future dateCurrently
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#9When will interest begin to accrue on the unpaid balance?
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Date: |#|% per
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!"EOn what date will interest begin to accrue and at what interest rate?
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the amount stated previouslythe following amount:$|#|% per
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$%&'(>On what amount will interest accrue and at what interest rate?
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Additional payment information:#|
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)*>What additional payment information would you like to include?
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Yes, include contact information.
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0aDo you wish to include the name of a person who may be contacted if the Drawer has any questions?
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Name: |
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1'What is the name of the contact person?
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By mailBy phoneBy fax
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2:B)How should the contact person be reached?
Enter an X to request that the contact person be contacted by mail, phone, and/or fax.