Your First name/Last name

Address

Postal code/ CITY

[Name of your employer]

Address

Postal code/ City

Done in [your city], on [specify the date].

Subject: Loan request

Madam, Sir,

Currently employed by your company for [indicate your length of service] in the position of [indicate your position], I would like to request a loan from you in the amount of [indicate the desired amount]. If you agree, and in accordance with the law, I authorize you to deduct instalments of [indicate the amount of the instalments] directly from my salary.

While awaiting your response, please accept, Madam, Sir, the expression of my best regards.

[Your signature]