TO DISCONTINUE THE PAYROLL DEDUCTION

I wish to discontinue the payroll authorization above, effective pay period ending (date) _____________ .

(signature) am writing to request that you stop (insert company`s name) from making future automatic withdrawals from my checking account. These charges are unauthorized. I canceled my contract in writing with (insert company`s name) on (list your date of cancellation). The Federal Reserve`s rules governing pre-authorized transfers (part of Regulation E) states the following: "Once a financial institution has been notified that the customer`s authorization is no longer valid, it must block all future payments for the particular debit transmitted by the designated payee-originator." I would appreciate your immediate compliance with this federal law. Please contact me if you have any further questions. 

Read more: Letter for stoppage of premium insurance deductions? - How to write a letter for stopage of insurance :: Ask Me Fast at http://www.askmefast.com/Letter_for_stoppage_of_premium_insurance_deductions-qna3163281.html

DATE: ____________________ SAP #:_______________ NAME: ________________________________________________________ (Last) (First) (MI) SOCIAL SECURITY #:________________ My policy is with: _______________________________________________ (Company Name) I have a current payroll deduction in the amount of: __________ I hereby request that you stop further payroll deductions for this Tax Sheltered Annuity (TSA). Please take the Final deduction from my_______________________ paycheck. (Last month you want deduction taken from) I understand that it is my responsibility to notify my agent/company. _________________________________________ (Employee Signature) Return completed form via Courier Rt. E or US Mail (PCSB PO Box 391 Bartow, FL 33831) To the attention of: Risk Management STOP TSA PAYROLL DEDUCTION REQUEST FORM