Here is a quick template for those looking to send a settlement offer to a collection agency or Pay for Delete. DATE. This article provides a template for a debt settlement proposal letter and explains what a debt settlement letter should contain.Offer what you feel you can afford to pay and see if the collection agency is willing to accept. Use this sample debt settlement letter. A debt settlement letter is all you need to negotiate debts with your creditors. It asks you to pay a certain settlement amount to the collection agency. I am writing in regards to the above-referenced debt to inform you that I am disputing this debt. To fill out this letter, clearly write your name and address at the top. Include the date and the collection agency's name and address. Click on the link(s) for the forms you'd like to download.