Free Notary Authorization Letter Template
NOTARY AUTHORIZATION LETTER
I. INTRODUCTION
I, [Your Name], do solemnly affirm and unequivocally grant authority to [Authorized Individual] to act as my representative in all matters about [Insert Purpose]. Due to certain circumstances that have unfortunately arisen and rendered me incapable of being present in person, I am compelled to confer upon [Authorized Individual] the power and responsibility to act in my stead and execute tasks and decisions that I would have otherwise undertaken. I sincerely trust that [Authorized Individual Name] will aptly handle all relevant issues and judiciously execute all correlated duties and rights under my explicit authorization. This delegation of authority is made with my full consent and completely complies with my wishes and intentions.
This authorization is granted with full understanding of its implications and will remain valid until [Insert Date].
II. NOTARY PUBLIC INFORMATION
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Name: [Notary Public Name]
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Commission Number: [Commission Number]
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State: [State]
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Date of Expiration: [Expiration Date]
III. DOCUMENT DETAILS
The following documents are hereby authorized for action by the Authorized Individual:
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Document Title: [DOCUMENT TITLE]
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Document Date: [DOCUMENT DATE]
IV. SIGNATORY INFORMATION
[Your Name] Details:
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Full Name: [Your Full Name]
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Address: [Your Address]
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Contact Number: [Your Contact Number]
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Email: [Your Email Address]
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Date of Birth: [Your Date of Birth]
[Authorized Individual Name] Details:
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Full Name: [Authorized Individual's Name]
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Address: [Authorized Individual's Address]
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Contact Number: [Authorized Individual's Contact Number]
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Relationship to Signatory: [Authorized Individual's Relationship to You]
V. WITNESS INFORMATION (OPTIONAL)
Should the need arise, the individuals listed below are eligible and available to serve as witnesses to the signing or validation of this authorization.
Witness 1:
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Name: [Witness 1 Name]
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Address: [Witness 1 Address]
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Contact Number: [Witness 1 Contact Number]
Witness 2:
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Name: [Witness 2 Name]
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Address: [Witness 2 Address]
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Contact Number: [Witness 2 Contact Number]
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal on the date mentioned above.
Notary Signature:
Date: [DATE OF NOTARIZATION]
VI. NOTARY SEAL
(Place Notary Seal Here)
VII. ACKNOWLEDGEMENT RECEIPT (OPTIONAL)
I, [RECIPIENT NAME], acknowledge the receipt of the notarized document titled [DOCUMENT TITLE] on [DATE OF RECEIPT].
Recipient Signature:
Date: [DATE OF RECEIPT]
