Creditor, Objection to Debtor Offset


Name of Debtor (Person Owing Debt)

Dear Sir or Madam:

We acknowledge receipt of your check tendered in the amount of $_________, which we accept as payment against your overdue balance of $___________, without acknowledging any of the conditions attached to your payment.

Please remit the balance of $ ___________ prior to __________ (Date) to avoid further charges.

Yours very truly,

Authorized Employee or Individual