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1. Letterhead and Date: Bank's name, address, and current date
2. Recipient Details: Bank branch details and reference numbers if applicable
3. Account Holder Information: Full name, account numbers, and contact details of the account holder
4. Authorization Statement: Clear statement authorizing the bank to return cheques under specified conditions
5. Return Conditions: Specific conditions under which cheques should be returned
6. Duration of Authority: Period for which the authorization remains valid
7. Signature Block: Space for authorized signatories and company stamp if applicable
1. Special Instructions: Additional handling instructions or exceptions to the general return conditions
2. Notice Requirements: Specific requirements for how and when the bank should notify the account holder of returned cheques
3. Multiple Account References: When the authority applies to multiple accounts held by the same entity
4. Indemnity Clause: Protection for the bank when acting on the instructions provided
5. Revocation Process: Process for withdrawing or modifying the authority
1. List of Authorized Accounts: Schedule listing all account numbers covered by the authority
2. Specimen Signatures: Appendix containing specimen signatures of authorized signatories
3. Return Criteria Matrix: Detailed matrix of conditions and corresponding actions for cheque returns
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