_________________________, 20____ (Date of Letter) Credit Bureau ______________________________ (Attn: Reporting Agent) ______________________________ (Street Address) ______________________________ (City, State and Zip Code) RE: _________________________________________ (Acknowledgment of Payment) Dear Reporting Agent: This will confirm payment from your agency in the amount of $_________________ (payment received) on behalf of your collection efforts for the undersigned, relative to the claim by me (us) against _______________________________ (name of individual against whom claim is made). Your services for the collection of this amount are deeply appreciated, and this will further acknowledge that the amount of $_______________ (amount owed) is _______________ (partially or fully) paid. $_________________________ (list remaining amount due) presently remains due subsequent to payment. Should you need any other verification from the undersigned relative to payment acknowledgment, kindly advise. Very truly yours, ______________________________ (Signature) ______________________________ (Address) ______________________________ (City, State and Zip Code) ______________________________ (Phone Number) LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006 This is not a substitute for legal advice. An attorney must be consulted.