To

……………………………………………

……………………………………………

Dear Sir,

I have received your letter dated……………………….. demanding a sum of Rs
……………………………(Rupees in words…………………………………………………
…………………………………………)due from me.

2. I hereby acknowledge that the said sum of Rs ………………………….is due from me on account of a bond dated executed by me in your favour.

Date …………………. Sd/¬