[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Cancellation of Direct Debit Authorization Dear [Recipient's Name], I am writing to formally request the cancellation of the direct debit authorization [or specify the name of the company/service] associated with my bank account. Please consider this letter as an official request to cease any further automatic withdrawals from my account, effective immediately. My account details are as follows: Account Holder's Name: [Your Name] Bank Name: [Name of Your Bank] Account Number: [Your Account Number] Routing Number: [Your Routing Number] Type of Account: [Checking/Savings] I have recently reviewed my financial situation and determined that this particular direct debit authorization is no longer necessary or suitable for my needs. Due to changes in my circumstances, I am unable to continue with this ongoing payment arrangement. I kindly request your prompt attention to this matter and ask for a written confirmation indicating the cancellation of the direct debit authorization. Please ensure that all future debits related to this authorization are halted immediately to avoid any inconvenience or unnecessary charges. As per the terms and conditions outlined in the initial agreement, I understand that I may be required to provide an alternate method of payment for any outstanding or upcoming bills. Kindly advise me on the necessary steps to ensure a smooth transition and provide any required forms or instructions for such purpose. Should there be any fees associated with the cancellation or any additional administrative requirements, please inform me in writing at your earliest convenience. I am open to discussing any outstanding matters and ensure a fair resolution for both parties involved. I appreciate your immediate attention to this matter and anticipate a response within [specify a reasonable time frame, e.g., 14 days] of receiving this letter. Should you require any further clarification or documentation, please do not hesitate to contact me via the provided contact details. Thank you for your understanding and cooperation. I trust that this cancellation request will be processed promptly and efficiently. Yours sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.