The Manager,
__________(Name of the Company)

Date: __/__/____(Date)

__________(Name of the Customer)
__________(Address of the Customer)

Subject: Payment of Order No. _______ (order no.)

Dear Sir/Madam,

This letter is in reference to your purchase of __________ (product name) bearing order no. ________ (order number) and invoice number __________ (invoice number), dated__________ (Date).

I, _________ (Your name) __________ (Designation) would like to inform you that the payment received for the above-mentioned vide cheque number _________ (cheque number) amounting _______ (amount) was bounced and return by the bank with reason __________ (reason for cheque bounce – mention).

I request you to kindly pay the amount of ___________ (amount) within _____ (no. of days) to avoid any applicable charges. You can make payment via alternative modes ____________ (online/swipe machine/any other- if applicable)


__________(Name of the Company)

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