REQUEST FOR VERIFICATION OF DEPOSIT

Applicant____________________
Address______________________
City_________________________
Loan No._____________________
Escrow No.___________________

Gentlemen:

I have applied for a [form of loan] loan to be made
by [name of lending institution]

I shall appreciate your completing the Deposit
Verification for their confidential use and forwarding
it to:

[name of institution] Statement of Account
[address] Type of Account
[city,state,zip] ____________________
Balance
____________________
Date
____________________

Thank you for your consideration and prompt reply, as
it will avoid many delays.

Very truly yours,
________________________

VERIFICATION OF BANK OR OTHER DEPOSITORY

Is Statement Above Approximately Correct?
If “No”, please give Current Balance $_____________
Date Account Opened_____________________
Approximate Average Balance for Past 2 Months $________
Loans Outstanding To Applicant:
Secured Date of Loan__________ Current Balance ________
Unsecured Date of Loan__________ Current Balance_______

This information is furnished to you in strict
confidence in response to your request and is solely
for use by you in connection with the above application
for a loan.

____________ _________________________ _______________________
Date Official Title Signature

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