[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Today’s Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] 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/Financial Institution Name]. This letter serves as an official notice that I no longer wish to have automatic debits withdrawn from my account with immediate effect. Account Details: — Account Holder's Name: [Your Full Name] — Account Number: [Your Account Number— - Debit Authorization Date: [Authorization Date] — Amount Authorized: [Authorized Amount] The purpose of this cancellation request is to exercise my right to control and manage all financial transactions related to my account personally. I understand that by cancelling the direct debit authorization, I will be solely responsible for making manual payments to [Company's Name] for any outstanding or future bills. I kindly request that you acknowledge my cancellation request within [Specify Deadline — e.g., 10 business days] of receiving this letter. As per the terms and conditions of the original agreement, I expect no further debits to be taken from my account after the cancellation confirmation is received. In case you require any additional documentation or information, please let me know at your earliest convenience. You can reach me via the contact details mentioned above. Furthermore, I request that you provide written confirmation of the cancellation, including the date of cancellation, which will serve as evidence for my records. I thank you for your attention to this matter and your prompt action in cancelling the direct debit authorization. I trust that you will ensure a smooth and hassle-free process. Should you have any questions or concerns, please do not hesitate to contact me. Yours sincerely, [Your Full Name] --- Keywords: Riverside California, Sample Letter, Cancellation, Direct Debit Authorization, Account Details, Financial Institution, Debit Authorization Date, Authorized Amount, Cancellation Confirmation, Right to Control, Manual Payments, Financial Transactions, Billing, Authorization Letter.
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.