Notice of dishonored check
Date:___________________________________________
Name of issuer:_________________________________
Street address:_________________________________
City and state:_________________________________
You are, according to law, hereby notified that a check or instrument numbered ________, dated ________, 19________, drawn on ______________________ in the amount of ____________________
(bank or other drawee)
and payable to ___________________________ has been dishonored.
Pursuant to Arizona law, you have twelve days from receipt of this notice to pay or tender to_________________ the full amount
(holder)
of the check or instrument, together with all reasonable costs and protest fees of ___________, the total amount due being __________________. Unless this amount is paid in full within the specified time above, the holder of the check or instrument may turn over the dishonored check or instrument and all other available information relating to this incident to the county attorney for criminal prosecution.
A.R.S. § 13-1808