RE: <<Pol_Company>>, <<Pol_PolNum>>
<<Pol_EffectDate>> - <<Pol_ExpireDate>>
Final Audit - Amount Due: $ <<Input: Audit Amount Due>>
Dear <<PP_First>>:
The final audit premium shown above has been billed to you and not paid. We have returned the premium to <<Pol_Company>> for direct collection.
If your policy includes a proposed dividend, non-payment of premium will probably cause the dividend to be forfeited.
Sincerely,
<<User Name>>
<<User_Notes>>, <<Agncy_Name>>
<<Agncy_Address>>, <<Agncy_City>>, <<Agncy_State>> <<Agncy_Zip>>
Phone:<<Agncy_Phone>> | Fax: <<Agncy_Fax>>