Student Loan Automatic Payment Letter

Use this letter when you would like to stop automatic payments from coming out of your account.

Date(Required)

Name(Required)

First Middle Last Suffix

Address(Required)

Street Address Address Line 2 City State ZIP Code

Lender Name(Required)

Loan Number(Required)

Lender Address(Required)

Street Address Address Line 2 City State ZIP Code

What action are you requesting(Required)

First this revocation applies to any and all future debits.

This revocation applies to the next scheduled debit. I have not revoked authorization for other debits.

Signature

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