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.

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.
 
  • 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.

  • Download your letter to your computer for saving and printing by clicking on ‘Download pdf’ or ‘Download doc’ on the left.

  • Sign each letter and enclose a copy of your budget if needed.








30 March 2017

Dear Sir/Madam


Card No:

With immediate effect, I withdraw my authority for all future payments to be debited from the above card number by . This is in accordance with my 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.”

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

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


I look forward to hearing from you.

Yours faithfully