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Notice Of Dishonor Of Draft
STATE OF ----------)
COUNTY OF ---------)
Please take notice that a draft for ---------- dollars ($----------), drawn by [name] on [institution], in favor of [name], or order of [date], and payable on [date], [acceptance or payment] of the draft was this day demanded, and not having been [accepted or paid] was PROTESTED by the undersigned Notary Public for [nonacceptance or nonpayment]. Holder looks to you for payment as [drawer or indorser].
Witness my hand and official seal.
My commission expires: [Date]