Sample Letter

Withdraw your continuous payment authority from buy now pay later company (sole name)

Use this letter to tell the buy now pay later company that you are withdrawing your authority for payments to be debited from your card.

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.

27th September 2023

Dear Sir/Madam

Account No:

This field is required.

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

This field is required.

in respect of the above buy now pay later agreement.

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).