This form is a sample letter in Word format covering the subject matter of the title of the form.
[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] Subject: Request for Payment Plan concerning Default Dear [Recipient's Name], I hope this letter finds you well. I am writing to discuss my financial hardship and the need to establish a payment plan to address the outstanding balance on my account. I understand that I have defaulted on the payment terms, and I am committed to resolving this matter promptly and responsibly. Furthermore, I have been a loyal customer of [Company/Organization Name] for several years, and I highly value the products/services provided. Unfortunately, due to unforeseen circumstances, such as [mention specific reasons — job loss, medical expenses, etc.], I have encountered financial difficulties that have made it challenging for me to meet my financial obligations. I genuinely apologize for the inconvenience caused by my default, and I assure you that this is not a reflection of my commitment to honor my debts. Despite my temporary setback, I am determined to rectify the situation and restore my good standing with [Company/Organization Name]. To demonstrate my commitment, I propose the following repayment plan: 1. Total Amount Due: $[Total Amount Due] 2. Installment Amount: $[Proposed Monthly Installment] 3. Number of Installments: [Proposed Number of Installments] 4. Payment Start Date: [Proposed Payment Start Date] The proposed installment amount is based on a careful evaluation of my current financial condition and taking into consideration my essential living expenses. I believe this plan will allow me to gradually repay the outstanding balance while ensuring my other financial obligations are met. I kindly request your understanding and approval of this payment plan. Furthermore, I genuinely believe that this arrangement is fair and reasonable given my circumstances. Please note that any assistance you can provide in waiving any late fees or penalties associated with my default would be greatly appreciated and contribute to a more manageable repayment plan. To proceed with this proposed payment plan, kindly sign and return the attached copy of this letter to indicate your acceptance. Upon receiving your acknowledgment, I will initiate the payments as specified in the plan. Moreover, I would like to emphasize that I am determined to reestablish a positive relationship with [Company/Organization Name]. I value the trust and faith you have placed in me as a customer, and I assure you that I will make every effort to fulfill this repayment plan in a timely manner. I sincerely appreciate your attention and understanding regarding my current financial predicament. Furthermore, I genuinely hope you can extend your support by accepting this payment proposal and working hand-in-hand to resolve the outstanding balance amicably. Thank you for your time and consideration. Please do not hesitate to contact me should you require any further information or have concerns regarding this matter. I look forward to a positive response, and I am grateful for your understanding during this challenging time. Yours sincerely, [Your Name]
[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] Subject: Request for Payment Plan concerning Default Dear [Recipient's Name], I hope this letter finds you well. I am writing to discuss my financial hardship and the need to establish a payment plan to address the outstanding balance on my account. I understand that I have defaulted on the payment terms, and I am committed to resolving this matter promptly and responsibly. Furthermore, I have been a loyal customer of [Company/Organization Name] for several years, and I highly value the products/services provided. Unfortunately, due to unforeseen circumstances, such as [mention specific reasons — job loss, medical expenses, etc.], I have encountered financial difficulties that have made it challenging for me to meet my financial obligations. I genuinely apologize for the inconvenience caused by my default, and I assure you that this is not a reflection of my commitment to honor my debts. Despite my temporary setback, I am determined to rectify the situation and restore my good standing with [Company/Organization Name]. To demonstrate my commitment, I propose the following repayment plan: 1. Total Amount Due: $[Total Amount Due] 2. Installment Amount: $[Proposed Monthly Installment] 3. Number of Installments: [Proposed Number of Installments] 4. Payment Start Date: [Proposed Payment Start Date] The proposed installment amount is based on a careful evaluation of my current financial condition and taking into consideration my essential living expenses. I believe this plan will allow me to gradually repay the outstanding balance while ensuring my other financial obligations are met. I kindly request your understanding and approval of this payment plan. Furthermore, I genuinely believe that this arrangement is fair and reasonable given my circumstances. Please note that any assistance you can provide in waiving any late fees or penalties associated with my default would be greatly appreciated and contribute to a more manageable repayment plan. To proceed with this proposed payment plan, kindly sign and return the attached copy of this letter to indicate your acceptance. Upon receiving your acknowledgment, I will initiate the payments as specified in the plan. Moreover, I would like to emphasize that I am determined to reestablish a positive relationship with [Company/Organization Name]. I value the trust and faith you have placed in me as a customer, and I assure you that I will make every effort to fulfill this repayment plan in a timely manner. I sincerely appreciate your attention and understanding regarding my current financial predicament. Furthermore, I genuinely hope you can extend your support by accepting this payment proposal and working hand-in-hand to resolve the outstanding balance amicably. Thank you for your time and consideration. Please do not hesitate to contact me should you require any further information or have concerns regarding this matter. I look forward to a positive response, and I am grateful for your understanding during this challenging time. Yours sincerely, [Your Name]