[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Bank Name] [Bank Address] [City, State, ZIP Code] Subject: Cancellation of Direct Debit Authorization Dear [Recipient's Name], I am writing to formally request the cancellation of my direct debit authorization with [Bank Name]. I have been a loyal customer of your bank for [number of years] and have always appreciated the range of services you offer. However, due to [reason for cancellation], I am no longer able to continue this arrangement. I would like to provide you with the necessary information for cancelling the direct debit with immediate effect: 1. Account Information: — Account Holder: [Your Name— - Account Number: [Your Account Number] — Sort Code: [Your Sort Code] 2. Direct Debit Authorization Details: — Authorization Date: [Date when direct debit was first set up] — Name of Debtor: [Company or individual who receives the payment] — Payment Reference: [Reference number or any specific identifier] 3. Reason for Cancellation: [Explain the reason in detail, whether its financial difficulties, change in payment method, termination of service, etc.] I kindly request that you acknowledge this cancellation request in writing and provide confirmation that the direct debit authorization has been successfully terminated. Additionally, please ensure that no further debits are made against my account as per this cancellation notice. Please confirm in writing that you have ceased all direct debit activity and have updated my account records accordingly. This confirmation should be sent to the address mentioned above or via email at [Your Email Address]. This documentation will serve as proof of cancellation, which I may require for future reference or dispute resolution purposes. Should you require any further information or if there are any necessary steps on my part to complete this cancellation process, please do not hesitate to contact me at the phone number or email address provided above. I appreciate your prompt attention to this matter and look forward to hearing from you soon. Thank you for your understanding and cooperation. 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.