Sample Authorization to Debit Account Letter

May 25, 2011

AUTHORIZATION TO DEBIT ACCOUNT

[DATE, ex. Wednesday, June 11, 1998]

[NAME, Bank AND ADDRESS, ex.

John Smith

XYZ Bank

1234 First Street

Suite 567

Anycity, Anystate  85245]

Dear [NAME, ex. John Smith],

You are hereby authorized and directed to debit our account no. [ACCOUNT NUMBER, ex. 12345678] in the amount of [AMOUNT OF DEBIT, ex. $8,236.09] in payment of [NATURE OF DEBIT, ex. your loan commitment fee].

This shall be your good and sufficient authority for so doing.

[NOTE: IF MORE THAN ON SIGNATURE IS REQUIRED ON ACCOUNT, MAKE SURE BOTH BANK SIGNING OFFICERS SIGN LETTER]

Sincerely,

[YOUR NAME, ex. Jill Jones]

 

Download Sample Authorization to Debit Account Letter In Word Format

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