Client’s Authorization for Attorney to Receive Payments
I, [name of creditor], appoint [name of attorney] as my agent to receive any money payable to me from [name of debtor], to endorse checks and other instruments, whether payable to me or to [name of attorney], and to disburse the money in accordance with other agreements previously or hereafter made between us regarding [name of debtor]. I make this appointment of agency in accordance with the powers and with respect to the matters set forth above, and I ratify all acts done according to this appointment. The agent’s authority will begin on the date of execution of this instrument and end on completion of all matters set forth above, unless revoked sooner by my written statement. This authorization will not terminate on my disability.
SIGNED on ________________________________.
[Name of creditor]
SIGNED under oath before me on ______________________________.
Notary Public, State of Texas