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