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This is sample letter to cancel automatic payment withdrawal. You have to customize this letter with required information to be suitable for your purpose.

Date ……………………..

Dear ……………………..,

I am writing this letter to inform you of a change with regard to my automatic payment withdrawal regarding account number ....................

Currently my ____________ payment is automatically withdrawn from my account number ____________________ held at __________ .The automatic payment withdrawals are made on the __________ day(s) of the month.

I hereby notify you of the cancellation of the authorization for the above referenced automatic payment withdrawals.

I understand that I need to give you at least two weeks notice prior to the next scheduled transaction.

Therefore, I expect the last automatic payment withdrawal to be dated  _____________________.

Thank you for your prompt attention to this request.

(Name of Vendor)

(1st, 15th, other)

(Date of Last Transaction)

(Name of Vendor)

 __________________________________

__________________________________

__________________________________

(Name)

(Street Address)

(Telephone Number)

(City, State, Zip)

(Signature)

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