Patriots Act Form PDF Details

In today's increasingly vigilant environment, where the global community is constantly seeking ways to curb the funding of terrorism and money laundering, the Patriots Act Disclosure plays a pivotal role. This form is more than just paperwork; it is an essential tool mandated by federal law for all financial institutions in their quest to ensure transparency and legality in financial transactions. The essence of this requirement is to meticulously obtain, verify, and record information that accurately identifies each person opening an account. To comply with Section 326 of the Act, financial institutions mandate borrowers to provide comprehensive personal information, including but not limited to, their name, loan number, address, date of birth, and social security or tax ID number. Furthermore, the form necessitates two forms of identification for each borrower, categorizing them into primary and secondary forms. These can range from state-issued driver licenses to recent utility bills. Each document must unequivocally display the borrower's name and other specific details like the document number and expiration date. This exhaustive approach ensures a standardized method for confirming identities, significantly reducing the chances of illicit activities thriving under the guise of legitimate financial operations. Through detailed instructions and a clear list of acceptable forms of identification, the Patriots Act Disclosure embodies the government's proactive stance against financial crimes, encapsulating a broader commitment to national and international security.

QuestionAnswer
Form NamePatriots Act Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespatriots act identification, patriots act form, patriots act identification form, patriots disclosure identification form

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Patriots Act Disclosure

Borrower Identification

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account.

Please provide the following information. We required two forms of identification for each borrower to comply with Section 326 of the Act.

Borrower’s Name

 

 

Loan Number

 

 

 

 

Address

 

 

Date of Birth

 

 

 

 

City, State Zip

 

 

Social Security #/Tax ID #

 

IMPORTANT - Information listed below must be exactly as indicated on the document.

Primary Forms of Identification - must display Borrower’s name

 

Document

Country/State of

ID Number

Date of Birth

Expiration Date

 

 

 

Origin

 

 

 

 

 

State Issued Driver License

 

 

 

 

 

 

 

State Issued ID Card

 

 

 

 

 

 

 

Military ID Card

 

 

 

 

 

 

 

Passport

 

 

 

 

 

 

 

US Alien Registration Card

 

 

 

 

 

 

 

Canadian Driver License

 

 

 

 

 

 

 

Secondary Forms of Identification-must display Borrower’s name

 

 

 

 

Document

Name of Issuer on

ID Number

Issuance Date

Expiration Date

 

 

 

 

Form

 

 

 

 

 

Social Security Card

U.S. Govt.

 

 

 

 

 

Government Issued Visa

 

 

 

 

 

 

 

Birth Certificate

 

 

 

 

 

 

 

Non-US/Canadian Driver License

 

 

 

 

 

 

 

Most Recent Signed Tax Returns

Fed

State

TIN:

 

 

 

 

Property Tax Bill

 

 

APN:

 

 

 

 

Voter Registration Card

 

 

 

 

 

 

 

Organizational Membership Card

 

 

 

 

 

 

 

Bank/Investment/Loan Statements

 

 

 

 

 

 

 

Paycheck stub with name

 

 

 

 

 

 

 

Most Recent W-2

 

 

 

 

 

 

 

Home/car/renter insurance papers

 

 

 

 

 

 

 

Recent utility bill

 

 

 

 

 

 

 

Comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that I have personally viewed and accurately recorded the information from the documents identified above, and have reasonably confirmed the identity of the applicant.

Signature

 

Title

 

 

 

Printed Name

 

Date

*For persons without a SSN/TIN, the ID number must be from one of the following: passport, alien ID card, or any other government issued document evidencing nationality or residence and bearing a photograph or similar safeguard.

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part 1 to completing patriots act disclosure form

Provide the requested particulars in the TIN APN, Social Security Card Government, Comments, I certify that I have personally, Signature, Printed Name, Title, Date, and For persons without a SSNTIN the section.

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