Subject: Cancellation of Direct Debit Authorization — Alameda, California [Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position/Title] [Company Name] [Company Address] [City, State, ZIP] Dear [Recipient's Name], I am writing to formally request the immediate cancellation of my direct debit authorization in regard to my account at [Bank Name]. I apologize for any inconvenience caused, but due to certain circumstances, I am no longer able to continue this arrangement. Please find the necessary details related to my account below: Account Holder Name: [Your Full Name] Account Number: [Your Account Number] Bank Name: [Bank Name] Branch Address: [Bank's Branch Address] I kindly request you to proceed with the cancellation of the direct debit authorization for the aforementioned account. As per the terms and conditions provided by your institution, I understand that it may take a reasonable amount of time to process this request. However, I would appreciate it if you could ensure that no further debits are made from my account after [Cutoff Date — Suggested 30 days from the date of this letter]. Furthermore, I would also appreciate your assistance in notifying the respective payee(s) of this cancellation to avoid any additional debits occurring through this direct debit arrangement. Kindly provide me with a confirmation letter once the cancellation has been successfully processed. Alternatively, if there are any required forms or documentation that I need to complete, please forward these to me as soon as possible so that I can expedite the cancellation process. In the case that there are any cancellation fees or penalties associated with the termination of this direct debit authorization, I kindly request that you inform me about them, so that I can settle them promptly. I would like to express my gratitude in advance for your understanding and cooperation in this matter. Please do not hesitate to contact me at the provided contact details if you require any further information or if there are any additional steps I need to take to facilitate this cancellation process. Thank you for your prompt attention to this matter. 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.