CANCELLATION NOTICECancellation Notice • October 29th, 2020
Contract Type FiledOctober 29th, 2020I/We, (Payor name), cancel my/our authorization to issue (Personal, Business, Funds Transfer or Cash Management) pre-authorized debits in the amount of (amount) against my/our account number (account number) effective on (date). I/We acknowledge that this cancellation does not terminate any other obligation that I/We may have with the Payee.