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1. Hi, what is your name? (the person giving authorization)
2. What is your address?
3. Who is the individual being authorized?
4. Please provide your bank account number for this authorization.
5. Please state the reason for closing the account.
6. What is the name of the bank?
7. Where is the bank located?
8. Last question, how to contact you? (email&phone no.)
9. What is today's date?
Previous year
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Today
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