Sample Payment Specific Amount Banking Letters

Letter for Pre-Authorized Payment, Specific Amount

[DATE, ex. Monday, November 28, 2011]

[NAME, BANK AND ADDRESS, ex.

Danny Graham

ABC Bank

123 Lane

Area 456

City, State, Pin Code]

 

Dear [NAME, ex. Mr. Graham],

You are hereby authorized to withdraw from the following account the amount of [AMOUNT OF PERIODIC DEBIT, ex. $5648.26] on a [PERIOD OF PAYMENT, ex. monthly, weekly] basis on the [BILLING DATE, ex. 7th day of each month]

Bank:                            [BANK NAME AND ADDRESS]

Bank Transit No:            [BANK TRANSIT NO., ex. 4444]

Account No:                  [ACCOUNT NUMBER, ex. 12345678]

Bank Tel. No.                [BANK TELEPHONE NO., ex. (XXX) XXX-XXXX]

Bank Contact                [NAME OF BANK CONTACT, ex. Susan Smith, Manager]

This shall be your good and sufficient authority for doing so.

We are enclosing an unsigned check from the account marked “VOID”.

[NOTE: IF MORE THAN ONE SIGNATURE IS REQUIRED ON ACCOUNT, MAKE SURE BOTH BANK SIGNING OFFICERS SIGN LETTER]

For any queries, please feel free to contact me directly.

Yours faithfully,

[Your Name, ex. Mark Anthony]

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