Sample Pre-Authorized Payment, Varying Amount Letter

Pre-Authorized Payment, Varying Amount [DATE, ex. Wednesday, June 11, 1998] [NAME, COMPANY AND ADDRESS, ex. John Smith XYZ Bank 1234 First Street Suite 567 Anycity, Anystate  85245] Dear [NAME, ex. John Smith], You are hereby authorized to withdraw from the following account the amount due on our [NATURE OF CHARGES, ex. telephone bill] on a [...]