Bill of Exchange

Journal #

Draft #

Statute

Match to your state

Instrument Date

Today’s Date

Place

City and State where this instrument is being executed. Use proper case.

Where your instrument will be emailed for printing

Payee

Who will receive the funds?

Drawee

Who is being ordered to pay? *THIS IS NOT YOU*

Address

City, State ZIP

Drawer

First

Last

Use proper case

Address

Address Line 1

Address Line 2

City

State

Zip Code

Currency Box

Words of Negotiability

Amount in words in check writing format

Memo

Drawer Box Statute

Services

Square

Card

Name on Card

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