The Patriots Act Form is a necessity for all businesses and organizations in order to properly document the details of any emergency or crisis. The form can be customized to fit the specific needs of your company, and should be updated regularly with any new information or changes. Having a well-organized Patriots Act Form will help ensure that your business is able to react swiftly and effectively in the event of an emergency.
Here is some data that might be useful if you're looking to learn just how long it will require you to fill out patriots act form and what number of PDF pages it contains.
| Question | Answer |
|---|---|
| Form Name | Patriots Act Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | patriots disclosure form, patriot act disclosure form, patriots disclosure identification form, patriot act form |
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 |
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Loan Number |
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Address |
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Date of Birth |
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City, State Zip |
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Social Security #/Tax ID # |
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IMPORTANT - Information listed below must be exactly as indicated on the document. |
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Primary Forms of Identification - must display Borrower’s name
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Country/State of |
ID Number |
Date of Birth |
Expiration Date |
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Origin |
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State Issued Driver License |
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State Issued ID Card |
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Military ID Card |
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Passport |
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US Alien Registration Card |
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Canadian Driver License |
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Secondary Forms of |
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Document |
Name of Issuer on |
ID Number |
Issuance Date |
Expiration Date |
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Form |
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Social Security Card |
U.S. Govt. |
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Government Issued Visa |
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Birth Certificate |
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Most Recent Signed Tax Returns |
Fed |
State |
TIN: |
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Property Tax Bill |
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APN: |
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Voter Registration Card |
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Organizational Membership Card |
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Bank/Investment/Loan Statements |
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Paycheck stub with name |
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Most Recent |
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Home/car/renter insurance papers |
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Recent utility bill |
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Comments: |
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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 |
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Title |
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Printed Name |
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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.