Ending a Direct Debit Authorization (Mail to Bank) (Document Template)

Your first and last names

your contact information

Your account number

Name and address of the bank

TO town, on date

Subject: Cancelation of a direct debit permit

Madam, Sir,

I pay every month on the (...) by deduction the sum of (amount of the levy in figures and letters) on the account of (creditor's name ).

I hereby request you to cancel this direct debit as of (date).

I thank you in advance, and I ask you to accept, Madam, Sir, the expression of my esteemed consideration.