Establishing secure connection…Loading editor…Preparing document…

North Carolina Authorization for Payment of Money

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

AUTHORIZATION TO RELEASE FUNDS

STATE OF NORTH CAROLINA

IN THE MATTER OF THE ESTATE OF

Name And Address Of Guardian/Personal Representative

File No.

In The General Court Of Justice

Superior Court Division

Before The Clerk

G.S. 28A-8-1.1; 35A-1232

Name And Address Of Bank Or Insured Savings And Loan Association

FOR GUARDIANSHIP ESTATES ONLY:

Name And Address Of Bank, Savings And Loan Association, Credit Union, Trust Company, Or Registered Securities Broker Or Dealer

Telephone No. Of Bank/Savings And Loan Association/Financial Institution

Account No.

Amount On Deposit

$

To The Bank/Insured Savings And Loan Association/Financial Institution Named Above:

You are authorized to release the amount of $ to the guardian/personal representative named above. The

funds remaining on deposit, if any, shall remain subject to the terms and conditions of the Receipt And Agreement on file with this office.

Date

Signature

SEAL

Original - File Copy - Guardian/Personal Representative Copy - Bank/Savings and Loan Association/Financial Institution

AOC-E-907, Rev. 12/17

© 2017 Administrative Office of the Courts

Enter text

What the North Carolina Authorization for Payment of Money Is

The North Carolina Authorization for Payment of Money is a written instruction used to authorize a payer to release funds to a designated payee or to permit a payor to initiate a payment method such as ACH, wire, or check. It records the parties, payment amount or method, effective date, and any conditions or limitations on disbursement. Organizations use this form to document consent, reduce disputes, and create an audit trail when transferring funds. Proper completion helps meet internal controls and supports recordkeeping for tax, audit, and compliance purposes.

Why a Clear Authorization Matters

A formal authorization creates unambiguous consent to transfer funds, clarifies payer and payee responsibilities, and preserves an evidentiary record. For electronic versions, it supports ESIGN and UETA acceptance when intent and retention are demonstrable, reducing downstream disputes and administrative friction.

Why a Clear Authorization Matters

Who Typically Prepares and Signs This Authorization

Common users include payees requesting release of funds, accounts payable personnel, and administrative officers who need documented approval before initiating a transfer.

  • Payees requesting disbursement or beneficiaries of a payment authorization.
  • Accounts payable or treasury teams verifying payee identity and routing details.
  • Authorized signatories such as CFOs, department heads, or designated agents.

Step-by-step: Completing the Authorization

Follow this sequence to reduce errors and ensure the authorization is valid and actionable.

  • 01
    Prepare Document: Collect payer, payee, amount, and routing details.
  • 02
    Enter Fields: Complete all required fields exactly as instructed.
  • 03
    Verify Identity: Confirm signer authority and identity documentation.
  • 04
    Sign and Distribute: Obtain signatures and send copies to all parties.

Essential Elements to Include in a Professional Authorization

A complete authorization balances clarity for the payer with protections for the payee. Include payment details, identity information, consent language, and dispute or revocation instructions.

Payer/Payee

Full legal names and contact information for both parties so banks or auditors can match records without ambiguity.

Amount or Formula

Exact dollar amount or a clear calculation method, including currency, rounding rules, and whether taxes or fees are included.

Payment Routing

Bank name, account type, routing number, account number, and reference or invoice numbers required for processing.

Consent Language

A concise statement that the signer authorizes the payment and acknowledges the method and timing of funds transfer.

Effective/Expiration Dates

Start and end dates, or a statement that the authorization remains in effect until revoked in writing with details on revocation process.

Dispute & Revocation

Instructions for disputing a payment and how to revoke the authorization, including contact points and reasonable notice periods.

Required Data Fields at a Glance

Payer Name: Full legal name
Payee Name: Full legal name
Payment Amount: Exact dollars
Routing Details: Bank routing and account
Effective Date: MM/DD/YYYY
Authorized Signer: Name, title, signature

Common Form Errors to Avoid

  • Leaving routing numbers or account numbers incomplete, which causes payment returns and processing delays.
  • Using mismatched legal names versus bank records, triggering manual review and potential withholding.
  • Failing to include clear consent or revocation language, which complicates dispute resolution.
  • Omitting effective or expiration dates, creating ambiguity about authorization scope and timing.

Risks and Consequences of Incorrect Authorization

Payment Reversal: Funds may be returned or reversed
Bank Fees: Returned-item and wire fees
Tax Withholding: Backup withholding may apply
Contract Disputes: Potential breach claims
Regulatory Exposure: State or federal compliance risk
Recordkeeping Liability: Missing records increase audit exposure

Where to Send or File the Completed Authorization

Distribute the signed authorization to the parties required for processing: payer accounts, payee records, and the bank or payment processor handling settlement.

  • Payer Accounts: Accounts payable or treasury for payment initiation
  • Payee Records: Retain a signed copy for receivable reconciliation
  • Bank / Processor: Provide routing details to the paying bank
  • Internal Audit: File with procurement or contract records as required

Digital Signing and File Format Considerations

Use secure PDF or DOCX formats for electronic authorization; ensure audit trails and signer attribution are preserved.

  • File Formats: PDF, DOCX supported
  • Authentication: Email, SMS, or stronger
  • Integrations: ERP and banking systems

Configuring a Digital Workflow for This Authorization

Set up a repeatable workflow: validate fields, require signer authentication, route for approvals, and archive the signed copy with audit metadata.

Field Configuration
Signer Authentication Email link or SMS 2FA
Required Fields Make routing and signature mandatory
Approval Steps Route finance then treasury
Retention Automatic archive and PDF/A

Use-Case Examples

These scenarios illustrate common ways organizations use a payment authorization to ensure secure, auditable transfers.

Vendor Payment

A company authorizes ACH payment for recurring vendor invoices

  • ACH routing is provided and verified once
  • The authorization reduces manual invoice processing and serves as the audit record for accounts payable reconciliation.

Benefit Disbursement

A nonprofit documents beneficiary election to receive a grant disbursement

  • Beneficiary provides bank details and signature
  • The documented consent protects the nonprofit against misdirected funds and provides proof for auditors and funders.

eSignature Vendor Pricing Snapshot for Executing Authorizations

Compare common vendor price and capability dimensions to choose a compliant eSignature tool for executing payment authorizations; signNow is listed first per vendor comparison guidance.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions and Troubleshooting

Answers to common concerns about completing, signing, and storing an authorization for payment of money, including eSignature-specific issues.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users