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Letter to Disable Automatic Billing - Template Form

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Create your Letter to Disable Automatic Billing for use in United States. Answer a few plain-English questions and the document fills in automatically as you go - then download it in Word and PDF, ready to sign or share.

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Below you can preview the Letter to Disable Automatic Billing, complete it by answering a few plain-English questions, and download a ready-to-sign copy in Word and PDF - tailored for use in United States.

What the Letter to Disable Automatic Billing includes

This template is organised into the following sections:

Frequently asked questions

What is a Letter to Disable Automatic Billing?

A Letter to Disable Automatic Billing is a ready-to-use legal template for United States. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Letter to Disable Automatic Billing cover?

The Letter to Disable Automatic Billing is organised into sections covering § 1. Purpose, § 2. Account Identification, § 3. Recurring Charge, § 4. Revocation of Authorization, § 5. Cancellation of Account, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Letter to Disable Automatic Billing as an editable Microsoft Word (.docx) file and as a PDF.

Can I edit the document later?

Yes - save it to your account and you can re-open, edit and re-download it at any time.

Is a Letter to Disable Automatic Billing legally binding?

Once it is properly completed and signed by everyone involved, a Letter to Disable Automatic Billing is generally legally binding in United States, provided it meets the legal requirements that apply to this type of document.

What laws apply to a Letter to Disable Automatic Billing in United States?

A Letter to Disable Automatic Billing should comply with the laws in force in United States. This template is built around the provisions such situations commonly require, but the rules can vary by region and change over time, so check the current requirements for your case.

Do I need a lawyer to use a Letter to Disable Automatic Billing?

For most standard situations you can complete the Letter to Disable Automatic Billing yourself using the guided questionnaire. For high-value, unusual or high-risk matters, it is sensible to have a qualified lawyer review the finished document.

How do I sign the Letter to Disable Automatic Billing?

Download the completed Letter to Disable Automatic Billing as Word or PDF and sign it as required in United States. Depending on the document this may involve a handwritten or electronic signature, and some documents also need witnesses.

Is the Letter to Disable Automatic Billing free?

You can preview the Letter to Disable Automatic Billing and fill it in for free. A one-time fee applies only when you download the finished, ready-to-sign document in Word and PDF.

How long does it take to complete a Letter to Disable Automatic Billing?

Most people finish the Letter to Disable Automatic Billing in just a few minutes by answering the plain-English questions. You can save your progress and come back to it at any time.

Prepared and reviewed by the LegalDocs team.

Document preview

NOTICE OF REVOCATION OF AUTHORIZATION FOR AUTOMATIC BILLING AND REQUEST FOR ACCOUNT CANCELLATION

________
________
________
________

Date: ________

________
Attention: ________
________

Sent via: ________

RE: Revocation of Authorization for Recurring/Automatic Payments and Cancellation of Account No. ________

To Whom It May Concern:

§ 1. Purpose. This letter serves as my written notice revoking any and all authorization previously granted to ________ (the “Company”) to initiate recurring, preauthorized, or automatic charges, electronic fund transfers, or other withdrawals against my account, and as my request to cancel my account and any related subscription or service.

§ 2. Account Identification. This request relates to the account, subscription, or service identified by Account Number ________, held in the name of ________, and associated with the payment method ending in ________.

§ 3. Recurring Charge. The Company presently bills my account on a ________ basis in the amount of $________ (________), which sum is automatically withdrawn from my account.

§ 5. Cancellation of Account. In addition to the revocation set forth above, I request that my account and any associated subscription, membership, or service be fully canceled and closed as of ________.

§ 6. Final Withdrawal. I understand and expect that the final automatic withdrawal, if any, shall occur on or before ________, and that no further charges shall be made thereafter.

§ 8. Notice to Financial Institution. I am providing, or have provided, a copy of this notice to my financial institution and have instructed it to stop payment on and decline any future preauthorized transfers initiated by the Company.

§ 9. Written Confirmation. Please confirm in writing, within ________ days of receipt of this letter, that (a) this request has been received; (b) the automatic billing has been canceled; and (c) my account has been closed and shows a zero balance. Please direct all correspondence to me at the address, email, or telephone number set forth above.

§ 10. Questions. Should you have any questions or require additional information to process this request, please contact me immediately at the contact information provided above. This letter is not, and shall not be construed as, a waiver of any of my rights.

Sincerely,


________
Signature: ________
Date: ________

Enclosures: ________

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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.