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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. What bank certificate(s) needs to be collected?
5. Who will receive this letter?
6. What is the name of the bank?
7. Where is the bank located?
8. When does this authorization take effect and end? (insert Date to Date)
9. Last question, how to contact you? (email/phone no.)
10. What is today's date?