LETTER OF AUTHORIZATION TO DEBIT ACCOUNT
[DATE, ex. Thursday, December, 1, 2011]
[NAME, Bank and ADDRESS, ex.
789 Street Name
City Name, Name of the state 98765]
Dear [NAME, ex. Mark Anthony],
I am writing this letter to hereby authorize and direct to debit your account [ACCOUNT NUMBER, ex. 987654321] in the amount of [DEBIT AMOUNT, ex. $4569.03] in payment of [NATURE OF DEBIT, ex. your house 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]
[NAME, ex. Wilson Roberts]