[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Name of Company/Bank] [Company/Bank Address] [City, State, ZIP] Subject: Cancellation of Direct Debit Authorization Dear [Company/Bank Name], I am writing to formally request the cancellation of the direct debit authorization associated with my account with your company/bank [Account Number]. I kindly ask you to take immediate action to cease all direct debit transactions from my account. I have carefully reviewed my financial commitments and have decided to manage my finances differently. As a result, I no longer wish to authorize direct debit payments from my account to your company/bank. Please consider this letter as my formal notice to terminate any existing direct debit arrangement and to withdraw any authorization previously given to initiate such transactions. I would like to emphasize that this cancellation is effective immediately. Consequently, I request that you confirm in writing the cancellation of the direct debit authorization within [mention a specific timeframe, e.g., 14 days] upon receiving this letter. Furthermore, please ensure that no further payments are deducted from my account, and all related details are deleted from your systems to avoid any future unintended deductions. To ensure that this process is executed correctly, kindly provide a written confirmation of the cancellation along with a reference number that verifies the termination of the direct debit authorization. I appreciate your prompt attention to this matter. Should you have any questions or require further information, please do not hesitate to contact me at the phone number or email address provided above. Thank you for your immediate attention to this request. I expect the cancellation of the direct debit authorization to be carried out promptly and without any undue delay. 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.