(Note: Take print out on your company’s letterhead)
[Your Name]
[Your Address]
[Email Address]
[Phone Number]
[Date]
[Recipient’s Name]
[Recipient’s Address]
[City, State, ZIP Code]
Subject: Authorization to Act on My Behalf
Dear [Recipient’s Name],
I, [Your Name], hereby authorize [Authorized Person’s Name], residing at [Authorized Person’s Address], to act on my behalf in matters related to [specific task or responsibility]. This authorization includes, but is not limited to, the following actions:
- [Detail of action 1]
- [Detail of action 2]
- [Detail of action 3]
This authorization is effective from [start date] to [end date]. Any and all actions taken by [Authorized Person’s Name] during this period shall be legally binding as if taken by me personally.
Please contact me at [Your Phone Number] or [Your Email Address] if you have any questions or require further clarification regarding this authorization.
Thank you for your attention to this matter.
Sincerely,
[Your Signature]
[Your Printed Name]
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