Bank Verification Form

Information you will need

• Is the first deposit account jointly held?
• Is the second deposit account jointly held?
• Is the other asset account jointly held?
• Is the additional asset account jointly held?
• Is the line of credit secured?
• Is the second line of credit secured?
• What’s the sender’s street address?
• What’s the date?
• What’s the sender’s phone number?
• What’s the sender’s city, state and ZIP code?
• What’s the sender’s name?
• What’s the requesting party’s phone number?
• What’s the requesting party’s city, state and ZIP code?
• What’s the requesting party’s street address?
• What’s the requesting party’s name?
• BANK REPRESENTATIVE ONLY: What’s the name of the bank?
• What’s the bank’s address?
• What’s the first deposit account?
• What’s the first deposit account number?
• When was the first deposit account opened?
• What’s the current balance of the first deposit account?
• What’s the 6 month average balance of the first deposit account?
• What’s the rate of interest of the first deposit account? (if applicable)
• What’s the name of the co owner of the first deposit account?

…and 44 more fields in the PDF.

The form includes 2 signature lines.