1234, Main Street
Boston, MA 02123
04 April, 2005
<Recipient Address Goes Here>
Re: Request to Close Account
Account No. <account number>
Please be advised that I wish to close the above-referenced account with your company. According to my records, the current balance on the account is <$ amount>. Would you please close the account and forward your final statement to me at your earliest convenience? I would appreciate confirmation in writing that the account has been closed and no further charges are authorized.
Thank you for your attention to this request. If you have any questions, please do not hesitate to contact me.
encl: <List of enclosed items goes here>