[DATE, ex. Wednesday, June 11, 1998] 

[NAME, COMPANY AND ADDRESS, ex.
John Smith
XYZ Bank
1234 First Street
Suite 567
Anycity, Anystate  85245]

Dear [NAME, ex. John Smith], 

I request that you close the following accounts I have at your branch:

TYPE                      ACCOUNT #
[LIST ACCOUNT TYPES AND NUMBERS, ex.
Savings                            2342342-234
Checking                 2343433-432] 

[MENTION WHAT SHOULD BE DONE WITH BALANCES, ex. Kindly prepare a money order in the amount of the balance outstanding for me to pick up on Monday, June 16, 1998.]  Allow me to thank you in advance for your consideration.

Sincerely,

[YOUR NAME, ex. Jill Jones]