Notice to Creditor of Death
Re: , deceased
Date of death:
To whom it may concern:
I am the representative of , who died on .
Please cancel this account at once. If there is any outstanding balance, please notify me promptly at the address below.
Please also acknowledge that you received this notice by signing a copy of this letter and returning it to me in the enclosed stamped, self-addressed envelope.
Thank you for your assistance.
Receipt acknowledged by:
Printed name: _________________________________
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