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Back to Forms for 'Debtor and Creditor'.





To:  ________________________ (Maker)

____________________________ (Address)




_______________________, the undersigned, of _______________ (address), __________ (city), __________ (county), __________ (state), is the holder of a note, dated __________ (date), made by you for the payment of __________ Dollars ($__________) on __________ (date), to the order of __________ (payee), of __________ (address), __________ (city), __________ (county), __________ (state).  The undersigned, being the present holder of the note, hereby demands payment of it by you.


Dated: __________________________





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