Sample Bank Statement Template

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Sample Bank Statement
Bank Name
1:
Statement
must
typewritten
on
Street Address
official bank letterhead.
City, Country
Postal Code
2:
Statement must include the date the
Contact Numbers
letter was issued. For your I-20,
your bank statement must be less
than 12 months old.
Date statement is issued
3:
Name of account holder. If this is
This is to certify that
<name of account holder>
has been
someone other than the student,
please state the student's name and
a customer of <Bank Name> for <number of years>. <He
relationship to the account holder.
or She> has satisfactorily maintained their accounts. <He
or She> currently has a balance of
<amount and
4:
Statement must include balance of
currency type>
in savings account number
<list account
the account and the currency type.
number>. This letter has been issued at the request of
(Can be worded "<account holder>
<Name of account holder> for the purpose of supporting
has a balance exceeding <amount
and currency type>" if the account
the educational and living expenses for
<his or her>
holder does not wish to disclose the
<son, daughter, or other relationship type> <name of
exact amount of their balance.)
student>
in the United States.
5:
Statement must include account
number if you will be submitting
more than one statement from the
Bank
Title of Bank Official
same bank.
Seal
6:
Statement must signed by a bank
official.

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