[Your letterhead, if desired; if not, your return address]
[Date of letter-month, day, and year]
[Recipient's first and last names]
[Company name]
[Street or P.O. box address]
[City, State ZIP code]
Dear [recipient's name]:
I am enclosing with this letter a check for $67.25, which is a payment on the amount owed to your company for account number 2943783.
Please send me a written confirmation, notifying me that you have received this payment and have applied it toward the total owed. I will continue to make monthly payments according to the terms on which we agreed.
Thank you for your prompt attention to this matter.
Sincerely,
[Signature]
[Sender's first and last names]
