LETTER OF AUTHORITY TO COLLECT
Place: __________
Date: __________
To
__________
__________
__________
Subject: Authority for __________ to collect on my behalf
Dear Sir / Madam,
I, __________, resident of __________, holding __________ number __________ and contactable on __________, write this letter.
- PERSON AUTHORISED
I authorise the following person, and only this person, to attend before you and collect the items described in paragraph 2:
Name: __________
Relationship to me: __________
Address: __________
Mobile: __________
Identification: __________ number __________
This person is referred to below as "the Bearer".
- WHAT THE BEARER MAY COLLECT
The Bearer may collect from you, on my behalf, only the following:
__________
- VALIDITY
This authority is valid from __________ to __________, both dates included, and may be used for __________. It cannot be used after __________, and nothing handed over after that date is collected with my authority.
- IDENTIFICATION AND RECEIPT
Please release the items only after (a) satisfying yourself of the Bearer's identity from the original of the identification document named in paragraph 1, and (b) obtaining the Bearer's signature and the date on a receipt or acknowledgement that lists what has been handed over. Please retain that receipt in your records. A specimen signature of the Bearer, attested by me, appears at the foot of this letter.
- LIMITS OF THIS AUTHORITY
This is an authority to collect. It is not a power of attorney. Except as expressly stated in this letter, the Bearer has no authority to act for me. In particular, the Bearer may not:
(a) sign any deed, agreement, undertaking, declaration or other instrument in my name;
(b) present any document for registration, or admit execution of any document, before a Registering Officer;
(c) operate, close or give any instruction on any bank, demat or investment account of mine, or encash, endorse or deposit any cheque or other instrument;
(d) receive any money on my behalf, or make any payment on my behalf except where this letter expressly permits it;
(e) waive, settle, compromise or give up any claim, objection or right of mine;
(f) sell, agree to sell, mortgage, charge, gift, exchange, lease, license, surrender, relinquish or otherwise create, transfer or deal with any interest in any immovable or movable property of mine, or deliver or take delivery of possession of any immovable property of mine; or
(g) appoint, authorise or substitute any other person in his or her place.
- MY RESPONSIBILITY
Delivery of the items to the Bearer against the receipt described in paragraph 4 will be a good and complete discharge of your obligation to deliver them to me, and I will not dispute that delivery. This paragraph does not apply if the items are delivered to a person other than the Bearer, or after __________, or after you have received notice under paragraph 7.
- WHEN THIS AUTHORITY ENDS
This authority ends on the earliest of: (a) the end of __________; (b) my written revocation reaching you; (c) the death or legal incapacity of the Bearer; and (d) the death or legal incapacity of the person who gives this authority. A revocation takes effect against you when it reaches you, and against the Bearer when it reaches the Bearer. I will send any revocation to you at the address above and to the Bearer at the address in paragraph 1.
- YOUR OWN REQUIREMENTS
If your rules require anything more than this letter — your own mandate or requisition form, a specimen signature attested by your officer, a notarised authority, a board resolution, or a stamped power of attorney — please tell the Bearer and I will comply with it separately. This letter is meant to support your process, not to replace it.
Yours faithfully,
_______________________________
__________
__________ number __________
Mobile: __________
SPECIMEN SIGNATURE OF THE BEARER
I, __________, have read this letter, accept the limits set out in it, and will produce my __________ in original at the counter.
Bearer's signature: _______________________ Date: _______________
Attested by me as the specimen signature of the Bearer:
_______________________________
__________
[Space for the Bearer's photograph, if your office requires one]
Enclosed: self-attested photocopy of my __________; photocopy of the Bearer's __________.