Dear [Bank/Financial Institution], Subject: Cancellation of Direct Debit Authorization for Account [Account Number] I am writing to formally request the cancellation of the Direct Debit Authorization associated with my account held at your institution. I kindly request that this cancellation be effective immediately. Account Details: Account Holder Name: [Your Name] Account Number: [Account Number] Branch: [Branch Name/Location] Reason for Cancellation: I have carefully reviewed my financial obligations and have decided that it is necessary to cancel the Direct Debit Authorization for the aforementioned account. The reasons behind this decision may include a change in financial circumstances, switching to a different payment method, or simply no longer requiring the services or products which were previously debited. Cancellation Details: I hereby authorize you to cancel all existing Direct Debit arrangements associated with my account [Account Number]. This includes any automatic payments or recurring subscriptions that may currently be active. Please ensure that all future transactions initiated through Direct Debit Authorization on my account are stopped immediately. Contact Details: If you require any clarification regarding this cancellation, kindly contact me on the phone number or email address provided below: Phone Number: [Your Contact Number] Email Address: [Your Email Address] Confirmation of Cancellation: Once the Direct Debit Authorization cancellation has been processed, I kindly request that you provide me with written confirmation of the cancellation, stating that: 1. The Direct Debit Authorization has been successfully canceled. 2. No further payments will be debited from my account moving forward. 3. Any pending or scheduled payments have been canceled. 4. The cancellation is effective immediately. You may send this confirmation via email to the aforementioned email address or through postal mail to the address associated with my account. I would like to extend my gratitude in advance for your prompt attention to this matter. Should there be any concerns or further requirements from your end, please do not hesitate to contact me. I appreciate your assistance in resolving this cancellation in a timely and efficient manner. Yours sincerely, [Your Name] [Your Address] [City, State, ZIP Code] [Date]
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.