[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 this letter to officially cancel my direct debit authorization with your organization. I currently hold an account with [Bank Name], with account number [Account Number]. The purpose of this letter is to cease all automatic deductions from my bank account, effective from [Cancellation Date]. I kindly request you to acknowledge the cancellation of my direct debit authorization and confirm that no further deductions will be made from my account. Additionally, I ask that you provide a written confirmation stating that my cancellation request has been processed successfully. Below are the details pertaining to my account for your reference: — Name on Account: [Your Full Name— - Bank Name: [Bank Name] — Bank Address: [Bank Address— - Account Number: [Account Number] — Routing Number: [Routing Number] I would appreciate it if you could confirm the receipt of this cancellation letter in writing within [Specify the Timeframe]. If there are any specific forms or documents required to complete this cancellation process, please notify me promptly so that I can fulfill the necessary requirements. Furthermore, I expect any pending charges or debits scheduled after the cancellation date to be immediately terminated. Kindly ensure that no additional charges occur and promptly return any funds deducted after the cancellation date. Should you have any questions or require any additional information, please feel free to contact me at [Your Phone Number] or [Your Email Address]. Thank you for your prompt attention to this matter. I expect the cancellation of my direct debit authorization to be processed efficiently and look forward to receiving a written confirmation of the cancellation. Sincerely, [Your Full Name] [Your Signature] Possible keywords: Rhode Island, direct debit authorization cancellation, cancellation letter, bank account, cancellation date, account details, receipt confirmation, pending charges, termination, return of funds, contact information.
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.