[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 hope this letter finds you in good health. I am writing to formally request the cancellation of my direct debit authorization for [merchant/company name], effective immediately. Please find the relevant details below: Account Holder Name: [Your Full Name] Account Number: [Your Account Number] Billing Address: [Your Billing Address] I no longer wish to continue the direct debit arrangement with [merchant/company name] due to [state your reason for cancellation]. After careful consideration, I have decided to explore alternative payment methods that better suit my current financial situation. To ensure a smooth transition, I kindly request your assistance in confirming the cancellation of the direct debit authorization. Furthermore, I would appreciate it if you would confirm the date on which this cancellation will take effect. Please provide this information in writing via mail or email as soon as possible. I understand that any outstanding payments or obligations should be settled before the cancellation comes into effect. Kindly inform me of any remaining balance or required actions to ensure a seamless conclusion to our financial relationship. In accordance with my rights as a consumer, I also request that you confirm the cancellation in writing and provide me with a copy of this confirmation for my records. I would like to express my gratitude for the services provided by [merchant/company name] during the tenure of our direct debit arrangement. It has been a pleasure to do business with you, and I appreciate your prompt attention to this matter. Thank you for your understanding and cooperation regarding this request. I trust that you will process this cancellation promptly, and I look forward to receiving your confirmation in due course. Should you require any further information or documentation, please do not hesitate to contact me via email or phone. I am available at your convenience to discuss any concerns or queries you may have. Thank you for your prompt attention to this matter. Yours sincerely, [Your Full 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.