Past Due Reminder Notice

CUSTOMER NAME: ____________________________________________
PREMISE ADDRESS: ____________________________________________
ACCOUNT NUMBER: ____________________________________________


On MM/DD/YYYY you signed a Residential Deferred Payment Agreement which obligated you to make a down payment of $XX.XX by MM/DD/YYYY and regular payments of $XX.XX in addition to your current charges, in order to avoid termination of commodity service. You have failed to comply with the terms of the Residential Deferred Payment Agreement. We are notifying you that you must meet the terms of the existing DPA by making the necessary payment within 20 calendar days of the date payment was due, or a final termination notice may be issued to terminate your service.

If you are unable to make payment under the terms of the Residential Deferred Payment Agreement because your financial circumstances have changed significantly due to events beyond your control, you should immediately contact us at (xxx) xxx-xxxx because a new payment agreement may be available. Assistance to pay utility bills may be available to recipients of public assistance or supplemental security income from your local social services office by calling xxx-xxxx.

The total amount owed to [UTILITY NAME] for this account as of MM/DD/YYYY is: $XX.XX.

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