FREE Sample Letter
Payment Refusal and Termination Letter

Today's Date

Your Name
Home Address
Phone Number

Attention: {name of creditor or collector}
Name of Agency
Agency Address

Account Number: {account or reference number}

Dear Mr. /Ms. {Collector's Name}

I have paid on this account per our payment agreement dated (insert date of verbal or written agreement). My records indicate that I have made (insert number) payments in the amount(s) of $(insert amount(s) for a total of $(insert total) in payments leaving a balance of $(insert balance).

Although I certainly want to continue paying on this debt, I simply cannot afford to pay the amount you are now demanding so, per your (phone call or letter) informing me that you refuse to accept my payments, you leave me no choice but to terminate our relationship.

For the record, do not contact me again regarding this account unless it is to inform me that my previous payment offer is acceptable or that you intend to take other actions as outlined in the Fair Debt Collection Practice Act.

Should you decide that some type of legal action is necessary, be advised that I welcome the opportunity to show any judge my efforts to resolve this issue. I have kept extremely accurate records of all correspondence and payments, and therefore, have complete confidence that any court would agree that my efforts have been in good faith.

Signature just above printed name
Your Printed Name