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Request for Bank Statement - Template, Sample Form

________
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________

The Branch Manager
________
________
________

Dear Sir/Madam,

RE: REQUEST FOR STATEMENT OF ACCOUNT

§ 1. Account Particulars
1.1. I, ________, of ________, am the holder of the account particulars set out below maintained at the above branch of your bank:

1.1.1. Account name: ________;
1.1.2. Type of account: ________;
1.1.3. Account number / NUBAN: ________;
1.1.4. Bank Verification Number (BVN): ________.

2.2. The statement should cover the period from ________ to ________.

2.3. Kindly transmit the statement by way of ________ to the address or electronic mail address stated herein. I undertake to bear any lawful statement charges prescribed by the bank.

§ 4. Contact and Verification
4.1. Should you require any further information or documentation to verify my identity before releasing the statement, please contact me by telephone on ________, or by electronic mail at ________.

I thank you for your prompt attention to this request and look forward to receiving the statement of account at your earliest convenience.


Yours faithfully,



_________________________
________
(Account Holder / Authorised Signatory)
Signature date: ________

Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.