[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 my direct debit authorization with [Name of Company/Financial Institution]. Please take immediate action to cease any further debits from my account as per the terms of the agreement between us. Account Details: Bank Name: [Your Bank Name] Account Holder's Name: [Your Name] Account Number: [Your Account Number] Direct Debit Reference Number: [Reference Number, if known] I regret to inform you that I no longer require the services provided by [Name of Company/Financial Institution]. Due to changes in my financial situation, I am unable to continue with this direct debit arrangement. I kindly request that you acknowledge this cancellation request and confirm in writing that no further payments will be debited from my account. Additionally, please provide me with details of any outstanding balance, if applicable. To ensure a smooth transition, please cancel the direct debit authorization as of [Date of Cancellation]. I expect this request to be processed promptly, and I trust that you will adhere to the legal and regulatory guidelines concerning such cancellations. Should you require any further information or documentation to process this request, please do not hesitate to contact me at the email address or phone number provided above. I would like to express my gratitude for your prompt attention to this matter. In closing, I kindly request that you confirm the cancellation of the direct debit authorization within 14 days from the date of this letter. Thank you for your cooperation. 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.