LETTER OF AUTHORITY TO COLLECT
Place: __________
Date: __________
Dear Sir / Madam,
- 1. PERSON AUTHORISED
I authorise the following person, and only this person, to attend before you and collect the items described in paragraph 2:
This person is referred to below as "the Bearer".
- 2. WHAT THE BEARER MAY COLLECT
The Bearer may collect from you, on my behalf, only the following:
- 3. VALIDITY
- 4. 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.
- 5. 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.
- 6. MY RESPONSIBILITY
- 7. WHEN THIS AUTHORITY ENDS
- 8. 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,
SPECIMEN SIGNATURE OF THE BEARER
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]