Promissory Note Sample For Hospital Bill
Description
How to fill out Checklist - Items To Consider For Drafting A Promissory Note?
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FAQ
Dear District Administrator NAME OF ADMINISTRATOR: I received care at NAME OF HOSPITAL on DATES OF SERVICE. The hospital is demanding payment on this bill, and/or my bill has been sent to collections, and/or I am being sued for collection of this bill, and/or I was forced to pay more than I owe.
To Whom It May Concern: I am writing to negotiate the above medical bills because I am unable to pay the amount requested. Pursuing me for these bills will force me (and my family) into further financial hardship. This is where you explain your current financial situation and why you are unable to pay.
Dear Sir or Madam: I am writing to notify you of my inability to pay the above-referenced bill for (describe your condition and treatment). I have received the enclosed bill (enclose a copy of the documentation received from the billing company), but I am unable to pay the bill as outlined.
At its most basic, a promissory note should include the following things:Date.Name of the lender and borrower.Loan amount.Whether the loan is secured or unsecured. If it's secured with collateral: What is the collateral?Payment amount and frequency.Payment due date.Whether the loan has a cosigner, and if so, who.
A simple promissory note might be for a lump sum repayment on a certain date. For example, you lend your friend $1,000 and he agrees to repay you by December 1. The full amount is due on that date, and there is no payment schedule involved.
