Free letter template
Letter revoking authorization for automatic payments
This letter withdraws your permission for a company to take automatic payments. Send one to the company and a copy to your bank.
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Re: Revocation of authorization for automatic payments, account [Your account number with them]
To [Company name]: I revoke the authorization I gave you to take automatic payments from my [Bank or card (last 4 digits)] for account [Your account number with them], effective [Effective date]. Please stop all automatic debits and charges. I have also notified my bank that I have revoked this authorization. Any payment you initiate after this notice is unauthorized. Sincerely, [Your name]
When to use this letter
- A company keeps debiting your account after you cancelled
- You want to switch to paying manually
Where to send it
Company's customer service or billing address; a copy to your bank's address for written confirmations.
Tips before you mail it
- This doesn't cancel the contract or any balance; cancel separately if needed.
- Give your bank a stop-payment order at least 3 business days before the next debit.
The full template text
Re: Revocation of authorization for automatic payments, account {{accountNo}}
To {{company}}:
I revoke the authorization I gave you to take automatic payments from my {{bankLast4}} for account {{accountNo}}, effective {{effective}}. Please stop all automatic debits and charges.
I have also notified my bank that I have revoked this authorization. Any payment you initiate after this notice is unauthorized.
Sincerely,
{{signature}}Text in {{double braces}} is filled in from the form above. This is a general template, not legal advice.