To,
The Branch Manager,
_____________ (Bank Name),
_____________ (Branch Name/ Address)

Date: __/__/____ (Date)

Subject: Request letter for credit card statement

Respected Sir/Madam,

This is to inform you that I ____________ (Name) having a _______(name of credit card) credit card with your bank have lost the credit card bearing number _______________ (credit card number).

I request you to kindly deactivate the card and issue a statement of my credit card for the month of ________ (mention the month for which a credit card statement is required). Following are the details of my current credit card.

Name Of Credit Card: _______________
Name as on Credit Card: _______________
Credit card number: _______________
Contact Number: ____________

As per requirement, please find the required documents attached along with this application.

Regards,
__________ (Signature)
__________ (Your Name),
__________ (Account Number),
__________ (Contact Number)

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