Notice of Dishonored Check Date __________________________________________________
Name of Issuer __________________________________________
Street Address __________________________________________
City and State ___________________________________________
You are according to law notified that a check dated _____________,
___________, drawn on the ______________________ Bank of ______________ in the amount of ___________ has been returned unpaid with the notation the payment has been refused because of nonsufficient funds. Within ten days from the receipt of this notice, you must pay or tender to ____________________________ (Holder or agent or representative) sufficient moneys to pay such instrument in full and any collection fees or costs not in excess of forty dollars.
The notice of dishonor also may contain a recital of the penal provisions of this section and the possibility of a civil action to recover any collection fees or costs or civil penalty authorized by this section.
N.D.C.C. § 6-08-16