Demand Collection Agency Cease Contact

Date: ____________________
_________________________
_________________________
_________________________
[name and address of collection agency, including name of individual collector, if known.]

Name(s) on account: __________________________________________
Account number: _____________________________________________
Creditor: _____________________________________________________

To _________________________:

Since _________________________ [date], I have received several phone calls and letters from you concerning my overdue account with the above-named creditor.
Accordingly, under 15 U.S.C. section 1692c, this is my formal notice to you to cease all further communications with me except for the reasons specifically set forth in the federal law.

Sincerely,

___________________________________________________
Signature

___________________________________________________
Print Name

___________________________________________________
Address

___________________________________________________
Home phone