We want to inform you that we failed to receive

November 4, 2011

Austin Parker,
1234, West 67 Street,
Carlisle, MA 01741,
(123)-456 7890

[Subject: Normally bold, summarizes the intention of the letter] -Optional-

Dear Austin Parker,

We want to inform you that we failed to receive your June premium payment for your car insurance policy. Please be reminded that the nominal premium you are enjoying is because you have uninterrupted coverage. The policy will lapse if we will not receive your payment by July 10, and this will cause you a big inconvenience. Kindly send your payment right away. However, if you have already mailed it within these past weeks, please disregard this notice.

Sincerely,

Dustin

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