(Your Address Line 1)

(Your Address Line 2)

(Date)

(Name of Creditor)

(Creditor Address Line 1)

(Creditor Address Line 2)

Subject: Loan Number xx-xxxx-xx Loan Payment Modification

To Whom It May Concern:

I would like to request your help in modifying my home loan payment because I can no longer make the monthly payment of $(amount). My current financial capacity could afford me to pay $(amount) monthly.

I have come to this loan payment arrangement because I am tending to the needs of my youngest child who was diagnosed to be autistic. The doctor has prescribed for a weekly therapy and that would eat a great part of my income. I am doing everything I can to meet all my obligations but being a single parent without any support from my divorced spouse, I find it very difficult to make both ends meet.

I am hoping that you would respond positively to my request. Should you have any other payment plans that would help me in my financial condition, please call me at 555-555-5555.

Sincerely,

(Your Signature)

(Your Printed Name)


 

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