Respected Sir/Madam,
My name is ________ (name) and I hold a safe deposit box in your bank for the last ________ (mention duration) bearing locker number _________ (mention deposit box number) I beg to state that the same needs renewal on __/__/_____ (date) and this is to inform you that I am hereby requesting you to kindly renew the same.
I hereby authorize the bank to debit the applicable amount from my bank account. In this regard, please feel free to contact me at ________ (mention contact details).
[Digital Signature – if applicable]
____________ (Signature)
____________ (Name),
____________ (Contact details)