A person liable for a dishonored check is subject to civil penalties provided the holder of the dishonored check gives notice to the person that the check has been dishonored. The notice must state to whom the check was payable, the amount, date and number of the check, and the name of the bank on which the check is drawn. The notice must also contain a warning that failure to pay within 10 days will subject the person to additional costs which include court costs, processing charges incurred by the holder, interest at the rate of 12% per year from the date of dishonored, attorney's fees, and a fine not to exceed $50.00. (14 M.R.S.A. 6071, 6073.) The notice must be in substantially the form prescribed under 14 M.R.S.A. 6073, a portion of which is reproduced below for information purpose only:
 

"14 6073. Notice for nonpayment.

 

The notice must be in substantially the following form.

 

"Your check, draft or order made payable to .................. in the amount of ............. has not been accepted for payment by ......................, which is the drawee bank designated on your check. The check is dated ..................... and it is numbered ................ You are CAUTIONED that unless you pay the amount of this check within 10 days after the date this letter is postmarked, you may have to pay the following additional costs:

 

1. Attorney's fees;

2. Service costs;

3. Processing charges;

4. Interest; and

5. A penalty not to exceed $50.

 

You are advised to make payment to ....................... at the following address .................................... ."