Payment Authorization Letter

If you want to consent for your bank to complete a transaction, you can use this Payment Authorization Letter to inform them.


[Sender’s Name]

[City, State and Zip Code]

[Email Address]

[Date]

[Bank’s Name]

[City, State and Zip Code]

[Email Address]

Reference: Payment Authorization to [Recipient’s Name]

To Whom It May Concern,

I am writing to authorize the payment of [Amount] to [Payment recipient’s Name]. The payment is in relation to [purpose of the payment]. This transaction should be completed on or before [Date] to prevent penalties.

I request that you complete this transaction from [Account Number]. Additionally, please deduct any applicable fees for this transaction from this account. I have included a copy of the invoice to process this payment authorization.

Best Regards,

[Sender’s Signature]

[Sender’s Name]