Please be reminded that your insurance premium

December 15, 2011

JUSTIN HOLLOWAY

XYZ Company.

1234 Archer Road

Gainesville, Fl 32607

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

Dear JUSTIN HOLLOWAY,

Please be reminded that your insurance premium of $80 for the month of June is past due. Your accident insurance is very important for you and your family, please do your best to remit your premium right away. In the possibility that an accident may occur after you failed to pay your monthly premium, you will not have coverage for losses or litigation. We will wait for your payment until July 10, otherwise, a lapse will occur. Do not endanger your family’s financial security by not paying your premium on time.

Sincerely,

Jolon

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