Request For Verification Of Deposit

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

