Loan restructuring request

                                          [Bank name]

                                          from [Full name]
                                          Address: [address]
                                          Phone: [phone]

                                      REQUEST
                      for loan restructuring

Between me and [Bank name] a loan agreement No. [number] dated [date] was concluded.

Due to [reason: job loss, illness, reduced income, etc.] I temporarily cannot fulfill my obligations under the loan agreement in full.

I request to consider the possibility of restructuring the loan by:
- reducing the monthly payment;
- granting a payment holiday;
- extending the loan term.

4/12/2026                                                    _________________ / [Full name] /
                                                                                    (signature)