Dear Sir/Madam

REF: (*enter account details / Ref. No.)

Further to your recent correspondence / telephone conversation*, I have assessed my financial circumstances and find myself/ourselves* unable to meet my current outgoings.

I am experiencing difficulties because*.

In view of this situation, I would ask that you consider a revised monthly payment of £* per month commencing *(date)..

I enclose a copy of my statement of means, which provides details of my/our* monthly income, outgoing and essential debt repayments. I also enclose a list of my other creditors with offers of repayment. These payments represent a pro-rata distribution of my/our* total available income, and should resolve my/our* debt problems. I shall of course continue to monitor the situation and advise any changes in my circumstances.

To assist me and to prevent increasing indebtedness, I respectfully request that interest and other charges accruing to the account remain frozen, and that you refrain from taking any further action against me whilst payments are being maintained in accordance with this arrangement.

I hope that you will agree to my proposals, and look forward to receiving written confirmation as soon as possible. Thank you for your co-operation in this matter.

Yours faithfully

Your name*