Below is the  Authorization To Debit Accounttemplate body. If necessary, please put the personal information, company information, such as text to replace the specific content you need. you can download the .doc template file on the end of the article by click download link. 



March 11, 2014


Contact Name
Address
Address2  
City, State/Province
Zip/Postal Code



OBJECT: AUTHORIZATION TO DEBIT ACCOUNT


Dear [CONTACT NAME],

This letter is to acknowledge that [COMPANY/INDIVIDUAL] is hereby authorized to debit our account no. [ACCOUNT NUMBER] in the amount of [AMOUNT] for payment of [NATURE OF DEBIT]. Please withdraw the funds from the following bank account:


Bank:      [BANK NAME AND ADDRESS]
Bank Transit No:  [BANK TRANSIT NO]
Account No:    [ACCOUNT NUMBER]
Bank Tel. No.    [BANK TELEPHONE NO]
Bank Contact    [NAME OF BANK CONTACT & TITLE]


This shall be your good and sufficient authority for doing so. We enclose a blank check from the account marked "VOID".

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


Sincerely,




[YOUR NAME]
[YOUR TITLE]
[YOUR PHONE NUMBER]
[YOUREMAIL@YOURCOMPANY.COM] 


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