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1. Date and Place: Current date and location where the letter is being written
2. Bank Details: Complete name and address of the bank branch where the account is maintained
3. Account Holder Information: Full name, address, and account number of the person giving the authorization
4. Authorized Person Details: Complete identification information of the person being authorized to make the withdrawal
5. Authorization Statement: Clear statement of the authority being granted, including the specific powers and transaction limits
6. Transaction Details: Specific amount authorized for withdrawal or whether it's a recurring authorization
7. Validity Period: Clear specification of the duration for which the authorization is valid
8. Declaration: Statement confirming that the authorization is being given willingly and in sound mind
9. Signature Block: Space for signatures of the account holder, authorized person, and witnesses
1. Special Instructions: Any specific conditions or restrictions on the authorization, used when there are particular limitations or requirements
2. Purpose Statement: Explanation of why the authorization is being granted, useful when required by bank policy or for specific transactions
3. Emergency Contact: Alternative contact information in case of issues, recommended for long-term authorizations
4. Revocation Clause: Terms for cancelling the authorization, important for long-term or high-value authorizations
1. Identity Documents: Copies of valid ID documents of both the account holder and authorized person
2. Specimen Signature Card: Official specimen signatures of both parties as registered with the bank
3. Bank Account Details: Copy of bank account statement or other proof of account ownership
4. Witness Declarations: Separate witness statements with their identification details if required by the bank
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