Sample Insurance Surrender Letter

 
Subject: Surrendering Policy Number #

This is to inform you that I won't be able to continue paying the premiums on the above policy. Therefore, I would like to surrender my insurance policy for payment of its full cash value with effect from . I would appreciate a written confirmation from you within 30 days of the effective date.

I understand that surrendering this policy means that it cannot be reinstated later on, and the death benefit, which goes along with it, also gets terminated. Please reimburse the full cash value that I am entitled to receive, and cease the premium payments that are charged from my bank account.

Thank you for your timely consideration in this matter.

Sincerely,
Your Signature 
Your Full Name  
Your Mailing Address  
Your City, State, Zip Code