[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 formally request the cancellation of the direct debit authorization from my bank account [Account Number]. I kindly request you to take immediate action to terminate any and all direct debit authorizations associated with [Name of Institution/Service Provider]. I have carefully reviewed my financial situation and have decided to discontinue the automatic deduction of funds from my bank account for the aforementioned services. Therefore, I request that you stop any future deductions effective immediately. Here are the details of my account and the services associated with it: Account Holder's Name: [Your Name] Bank Name: [Bank Name] Account Number: [Account Number] Service Provider Name: [Name of Institution/Service Provider] Service Type: [Specify the type of service, e.g., insurance, utility bills, subscription, etc.] Furthermore, I would appreciate it if you could send me written confirmation of the cancellation of the direct debit authorization within [specify a reasonable timeframe, e.g., 14 days] from the receipt of this letter. This confirmation should include any necessary information regarding the conclusion of the automatic deduction services. Please note that any attempts to deduct funds from my account after the cancellation date mentioned above will be regarded as unauthorized transactions and I will take the necessary steps to protect my rights as a consumer. I have also informed my bank of this cancellation request to ensure that they are aware of the upcoming changes to my direct debit authorization. Should you require any additional information or documentation for this cancellation request, please do not hesitate to contact me at the provided contact details. Thank you for your prompt attention to this matter. I trust that you will process this request with the utmost urgency and ensure a smooth cancellation process. I greatly value your services and appreciate your cooperation in resolving this matter promptly. 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.