[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Company Name] [Company Address] [City, State, ZIP] Subject: Cancellation of Direct Debit Authorization Dear [Recipient's Name], I am writing this letter to formally request the cancellation of my direct debit authorization with your esteemed organization. Please consider this letter as my written notice of cancellation for all direct debits associated with my account. I want to emphasize that this request applies to all future payments and debits associated with my bank account [mention your bank account number]. As per my authorization on [mention the date when the authorization was initially granted], I had granted permission for automatic debits to be made from my account for the purpose of [state the purpose of the direct debits like monthly membership fee, utility bill payment, subscription fee, etc.]. Due to [provide a reason for cancellation, such as change in financial circumstances, termination of service, switching to a different payment method, etc.] I am no longer able to maintain the direct debit arrangement. Therefore, I kindly request that you immediately cease all direct debits pertaining to my account. To finalize the cancellation process, I request written confirmation of the cancellation from your organization. Please send this confirmation to me at the address mentioned above or via email at [provide your email address], within a reasonable timeframe. In addition, I would appreciate it if you would inform me if there are any outstanding payments or charges that need to be settled to conclude my account with your organization. Kindly provide me with accurate and detailed information regarding any necessary actions or steps that I should take to fulfill these obligations. I hope for your prompt attention to this matter. If you have any further questions or require any additional information, please do not hesitate to contact me at the provided phone number or email address. Thank you for your cooperation, and I look forward to your swift response. 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.