[Your Name] [Your Address] [City, State, Zip] [Email Address] [Phone Number] [Date]
[Recipient’s Name] [Recipient’s Address] [City, State, Zip]
Subject: Payment Arrangement Request for Account Number: [Your Account Number]
Dear [Recipient’s Name],
I am writing to request a payment arrangement for my account number [Your Account Number]…
[Explain your situation and propose a payment plan]
Thank you for your understanding and cooperation.
Sincerely,
[Your Name]