[Your name]

[Address line 1]

[Address line 2]

[Address line 3]

 [Postcode]

 

[Bank name]

[Address line 1]

[Address line 2]

[Address line 3]

[Postcode]

 

[Date]

 

 

Dear Sir/Madam [or bank manager’s name]


Card No:
[your card number]

We are writing to advise that with immediate effect, we withdraw our authority for all future payments to be debited from the above card number by [name your payday lender here]. This is in accordance with our rights under the Payment Services Regulations 2009, which state:

“The payer may withdraw its consent to a payment transaction at any time before the point at which the payment order can no longer be revoked under regulation 67.”

We also understand that should you not action our instruction, “any future payment transactions are not regarded as authorised for the purpose of this Part” and we shall seek an immediate and full refund.

Please confirm in writing that this instruction has been received and actioned.

We look forward to hearing from you.

Yours faithfully
[Yours sincerely if you’ve used their name]

 

[Your signature]

[Your name]