Authorization Form
To
To Whom It May Concern,
I, Authorizing Party’s Namewith a primary address at Authorizing Party’s Address, hereby grant Authorized Party’s Namewith a primary address at Authorized Party’s Address, permission to act on my behalf regarding Purpose(s). This authorization will remain valid from Month Day, Year to Month Day, Year.
If you have any questions or require further information, please feel free to contact me. The authorized party is expected to act in my best interest and comply with any applicable laws or policies. I reserve the right to revoke this authorization at any time by providing written notice.
If you have any questions or require further information, please feel free to contact me at Contact Information.
Thank you for your attention.
Sincerely,
Name:
Date:
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