[YOUR NAME]
[YOUR ADDRESS: LINE 1]
[ADDRESS: LINE 2]
[ADDRESS: TOWN]
[ADDRESS: COUNTY]
[ADDRESS: POST CODE]
[YOUR TELEPHONE NUMBER]
[DATE]
[NAME OF CREDITOR]
[ADDRESS OF CREDITOR: LINE 1]
[ADDRESS: LINE 2]
[ADDRESS: TOWN]
[ADDRESS: COUNTY]
[ADDRESS: POST CODE]
Ref. Account number/Agreement Number: [YOUR ACCOUNT/AGREEMENT NUMBER]
Dear Sirs,
I wrote to you previously to inform you that I am currently experiencing financial difficulties as a result of [SELECT FROM: disability / serious illness / a loss of employment / a relationship breakdown / imprisonment / starting work in a lower paid job / starting full-time education / needing to take parental care leave / etc.]
Enclosed is a copy of my current financial statement which details payments of arrears to my priority creditors. Additionally, I have enclosed a schedule of all my secondary debts. As you can see from this, the available money has been allocated on a pro-rata basis.
I request that you will accept this offer of £[INSERT AMOUNT HERE] per month and also stop any interest or other charges from accruing so that the payments will start to reduce the debt.
Please can you confirm your acceptance in writing and, at the same time, advise me on how you would like the payments to be made.
Thanking you in advance.
Yours faithfully
[SIGN NAME HERE]
[PRINT NAME HERE]
Enclosures: [STATE DOCUMENTS YOU HAVE ENCLOSED, IF ANY]