NOTICE OF PROTEST
_________________, 200__
TO: _________________________
(Name of drawer or indorser)
_____________________________
(Address)
Sir: Notice is hereby given at the request of ________________________, the holder of
draft drawn by ___________, dated _________________, payable to the order of
____________ for the sum of ________________ and indorsed (or made, or drawn, as
the case may be), and that the holder looks to you for the payment thereof; and for
damages, interests, and costs, said payment (or acceptance) having been demanded and
refused.
Very truly yours,
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 200__.