Notice of Withheld Delivery
We refer to your order for certain goods dated the_____ day of __________, 201(x). We are withholding delivery for the reason (s) checked below:
_____ Required payment has not been made.
_____ You repudiated or withdrew your contract to buy.
_____ You failed to furnish required shipping instructions.
_____ Certain goods are back ordered and shipment will be made in single lot.
_____ Other: ________________________________________________
Yours very truly,