Letter of Authorization From Bill or Statement Owner

24/4/2018

Company ,

Address 1,

Address 2,

Country .

Dear Sir/Madam,

I ,__________________________,confirm that _________________________ resides at the

address stated on the __________________ Bill/Statement, in my name , for the past

________ years .

Mr./Ms./Mrs. ____________________ is my _________________

Yours truly,

____________________

Name:

ID#:___________________