Introduction
This letter is a formal way of giving permission to a collection agency to collect payments on behalf of an individual or business. The authorization letter should clearly outline the terms and conditions of the agreement, and both parties should sign the document to show their agreement.
Authorization Statement
I, [Name], authorize [Collection Agency] to collect payments on my behalf for the following debts: [list of debts]. The agency is authorized to use any reasonable means necessary to collect these debts, including phone calls, letters, and legal action, if necessary.
I understand that the agency will charge a fee for its services, and that any additional costs associated with the collection of these debts will be my responsibility.
Release of Information
I authorize [Debt Holder] to release any and all information necessary for [Collection Agency] to pursue the collection of the debts listed above. This information may include (but is not limited to) my name, contact information, account numbers, and payment history.
I agree that [Debt Holder] will not be held responsible for any actions taken by [Collection Agency] in the course of collecting these debts.
Conclusion
By signing below, I acknowledge that I have read and understood the terms of this agreement, and that I am authorizing [Collection Agency] to collect payments on my behalf. I understand that I may revoke this authorization at any time by sending written notice to [Collection Agency].
Sincerely,
[Your Name]
Signature: ________________________________________ Date: _________________________
[Collection Agency Representative Name and Signature] Date: _________________________
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