Notice to Debtor of Authority of Agent to Receive Payment

Lenders, give notice to a debtor that you have appointed an agent to collect an outstanding debt with this Notice to Debtor of Authority of Agent to Receive Payment.

The agent is authorized to receive payment from the debtor on behalf of the lender. The authorization remains in effect until revoked in writing.

This Notice to Debtor of Authority of Agent to Receive Payment form is available as a downloadable MS Word file.