Bank Account Authorization Form
This Bank Account Authorization Form allows an account holder to grant temporary access and specific transaction powers to another individual for their bank account. It outlines the scope of authority, including deposits, withdrawals, transfers, and purchase orders, along with any monetary or time limitations. The form also specifies the duration of the authorization.
Bank Account Authorization Form
I, [name], residing at [place], in the city of [name of city] County, in the state of [state], do hereby swear and depose as to the following information:
That I am the sole account holder of account number[number] at [name of bank] Bank. While I am [reason], I am granting temporary account access to my [names].
I would like to grant [name] the power to make deposits of any amount to the account. He/she may also make withdrawals, transfers, purchase orders, or money checks up to [amount] ina [number]-month period. I have a safety deposit box, [number], which I do not permit access to.
This temporary authorization shall begin on [date 1] and end on [date 2] unless I notify you otherwise. I may be contacted at [way of contact] for further information.
[signature]
[date]
______________________________________
Witness
[address]
[city, state, zip]
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