Free Demand for Collateral Form 

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                                    DEMAND FOR COLLATERAL

 
  

        Date:

   
        To:

   
        Dear:

 
                Under an agreement dated ______________, 19__, you

        pledged certain collateral as security for the prompt repayment

        of a note of even date.  Presently, you are in default under the

        note because:

 
 

                As the holder of the note, and agreement, demand is

        hereby made of you to forthwith deliver up and surrender the

        collateral attached in Schedule "A" to this letter at

        _______________________________.

 

                                        Very truly yours,

 
 

                                        _____________________________