Payment Authorization Letter

If you want someone to receive payment on your behalf, you can use this Payment Authorization Letter sample template to give consent.


[Sender’s Name]

[City, State and Zip Code]

[Mobile Number]

[Date]

[Recipient’s Name]

[City, State and Zip Code]

[Mobile Number]

Dear [Recipient’s Name]

I am writing to give [Authorized Person’s Name] to act on my behalf in collecting payment of the sum of [Amount] in [Currency]. Currently, I am unavailable to make this transaction in person because [Reason for Unavailability]. The authorized person is [Relation to Authorized], and I believe they will complete the transaction accurately.

Please find proof of identification and other legally required documents for this process. This authorization will take effect on [Date] and runs until [Date]. If you have any inquiries, please contact me on [mobile Number].

Thank you for your time and assistance.

Sincerely,

[Sender’s Signature]

[Sender’s Name]


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