DIY Legal Forms

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Notice Of Withheld Delivery


To: [Customer]

Reference is made to your order for certain goods under date [Date].

We are withholding delivery for the reason[s] checked:

[ ] Required payment has not been made.

[ ] You repudiated or withdrew your contract to buy.

[ ] You failed to furnish requested shipping instructions.

[ ] Certain goods are back ordered and shipment will be made in single lot.

[ ] Other [Describe]


Your Name and Signature

Your Position / Title