Bank Reference Letter Template

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{Your Name}
{Your Address}
{Your Phone Number}
{Name}
{Bank Name}
{Address}
{Date}
Dear {Name},
This letter is a formal request to receive previous bank statements from my
account. The account number is {number} and the name listed on the account is
{Name}. I would like all the bank statements from {date} to {date} sent to the
address listed above.
Please {deduct the service charge amount from my checking
account/accept the enclosed check for the service charge amount}.
If you have any questions, or would like to speak to me further concerning this
matter, please contact me at {phone number} or {email}.
Sincerely,
{Sender Name}
Acceptance of Notice
Receipt of the above notice is hereby
acknowledged and accepted by: _________________________________
The _______ day of ______________, 20______
By: ____________________________________
Title: ___________________________________

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