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DEMAND LETTER PURSUANT TO CRIMINAL STATUTE O.C.G.A. § 16-9-20 Date: TO: (Name) (Address) (City, State, Zip Code) FROM: (Name of Sender) (Address) (City, State, Zip Code) YOU ARE HEREBY NOTIFED that the following check(s) or instrument(s): Check Number Check Date Check Amount Name of Bank The above listed check(s) or instrument(s) were drawn upon: (HAS OR HAVE BEEN DISHONORED) Account Number Payable To Dear Sir/Madam: Pursuant to Georgia Law, you have ten (10) days from the receipt of this notice to tender payment of the total amount of the check(s) or instrument(s) plus applicable service charge(s) as calculated below: Service charge(s) Total amount due Unless this amount is paid in full within the specified time above, a presumption in law arises that you delivered the check(s) or instrument(s) with the intent to defraud and the dishonored check(s) or instrument(s) and all other available information relating to this incident may be submitted to the Magistrate Court of Walton County for the issuance of a criminal warrant. Sincerely, Name of Sender