Subject: Important Notice ā Referral of Account to Collection Agency [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Creditor's Name] [Collection Agency's Name] [Address] [City, State, ZIP Code] Dear [Recipient's Name], I hope this letter finds you well. I am writing to discuss an urgent matter concerning the outstanding debt on my account with [Creditor's Name]. After careful consideration of my financial situation, I regret to inform you that I am unable to fulfill the required payments at this time. I truly understand the importance of fulfilling financial obligations, and it is not my intention to neglect or avoid my responsibilities. Unfortunately, due to unexpected circumstances such as [briefly explain the situation causing financial difficulties], I am currently facing significant financial constraints that prevent me from settling my outstanding balance. I value your services, and I assure you that I would make every effort to resolve this matter had my situation been different. However, in light of the circumstances, I kindly request your understanding and cooperation in this regard. Considering the aforementioned situation, I am hereby referring my account to your collection agency for further action. To provide you with all necessary information related to my account, please find the details listed below: Account Holder's Name: [Your Name] Account Number: [Account Number] Original Debtor: [Creditor's Name] Total Outstanding Balance: [Amount] Account Creation Date: [Date] Last Payment Made: [Date] Due Date of Last Unpaid Amount: [Date] I kindly request that you review my account information thoroughly and update your records accordingly. Moreover, I would appreciate it if you could provide me with an account statement detailing any additional fees or charges accrued due to this referral. Please understand that although I am currently unable to fulfill my financial obligations, I am committed to resolving this matter. Once my financial situation improves, I will reach out to you to discuss potential repayment arrangements or settlement options. Due to the sensitive nature of personal financial information, I request that all future communication regarding this account be conducted via mail. Please refrain from contacting me via telephone as I prefer written correspondence. Thank you for your prompt attention to this matter. Should you require any further information or have any questions, please do not hesitate to contact me at the provided phone number or email address. I appreciate your understanding and cooperation in this challenging situation. Yours sincerely, [Your Name]
Para su conveniencia, debajo del texto en espaƱol le brindamos la versiĆ³n completa de este formulario en inglĆ©s. For your convenience, the complete English version of this form is attached below the Spanish version.