Enclosure 1 - Request for Basic Identifying Account Data Format  


Latest version.
  • [Official Letterhead] Mr./Mrs. ______, Chief Teller (as appropriate), First National Bank, Little Rock, AR 72203

    Dear Mr./Mrs. ______. In connection with a legitimate law enforcement inquiry and pursuant to section 3413(g) of the Right to Financial Privacy Act of 1978, 12 U.S.C. 3401 et seq., you are requested to provide the following account information: [Name, address, account number, and type of account of any customer or ascertainable group of customers associated with a certain class of financial transactions as set forth in § 275.7.]

    I hereby certify, pursuant to section 3403(b) of the Right of Financial Privacy Act of 1978, that the provisions of the Act have been complied with as to this request for account information.

    [Official Signature Block]

    Under section 3417(c) of the Act, good faith reliance upon this certification relieves your institution and its employees and agents of any possible liability to the subject in connection with the disclosure of the requested financial records.