Sample Letter

Withdraw your continuous payment authority from your card issuer (sole name)

Use this letter to tell your card issuer that you are withdrawing your authority for payments to be taken by the payday loan company. You can find information on how to use this letter in our fact sheet Payday loans.

You can choose to send a letter in your own name or in joint names. You may have a debt in joint names, or want to write to your creditors together because you have worked out a joint budget.

Fill in your contact details, account number and any extra information you want to include in the grey shaded areas.
Today’s date will be added automatically.
Sign each letter and enclose a copy of your budget if needed.

Letter in joint names

You can choose to send a letter in your own name or in joint names. You may have a debt in joint names, or want to write to your creditors together because you have worked out a joint budget.

Change to joint version

You need to include the organisation name.

You need to include their address.

You need to include their postcode.

You need to include your address.

You need to include your postcode.

5th June 2023

Dear Sir/Madam

Card No:

This field is required.

With immediate effect, I withdraw my authority for all future payments to be debited from the above card number by

This field is required.

Please confirm in writing that you have received and actioned this instruction.

I look forward to hearing from you.

Yours faithfully

You need to include your name(s).