Notice of Delayed Availability - Bankers Online



NOTICE OF DELAYED AVAILABILITY

Financial Institution

Citizens Commerce National Bank

PO Box 1028

Versailles, KY 40383

Account Holder & Address

___________________________

______________________________

______________________________

Account Number: _________________

Date of Transaction: _________________

Amount of Deposit: _________________

* If you did not receive this notice at the time you made the deposit and the check(s) you deposited is/are paid, we will refund to you any fees for any overdrafts or returned checks that result solely from the additional delay we are imposing. To obtain a refund of such fees you may contact us at the address above, or call us at 859-879-9455 or write to us at our address listed above.

□ CASE-BY-CASE HOLD*

We are delaying the availability of $_______________ from the transaction(s) listed above. These funds will be available on the ___________ business day after the day of your transaction.

□ EXCEPTION HOLD

We are delaying the availability of $________________ from the transaction(s) listed above. These funds will be available on the ____________ business day after the day of your deposit.

We are taking this action because:

□ A check you deposited was previously returned unpaid.

□ You have overdrawn your account repeatedly in the last six months.

□ An emergency, such as failure of computer or communications equipment, has occurred.

□ We believe a check you deposited will not be paid for the following reasons:

□ We received notice that the check is being returned unpaid.

□ We are unable to verify an endorsement.

□ There are erasures or other apparent alterations on the check.

□ The check is postdated or has a stale date.

□ The check has an invalid routing and/or account number.

□ Information from the paying bank indicates that the check may not be paid.

□ We have confidential information that indicates that the check may not be paid.

□ Other: __________________________________________________________

(Verify with supervisor.)

□ The checks you deposited on this day exceed $5000.00*

(Complete only if using this exception reason.)

The checks you deposited on this day exceed $5,000. We are delaying the availability of $________________ from this deposit. $_____________ of these funds will be available on the _____________ business day after the day of your deposit, and $_________________ (the remainder) of these funds will be available on the ___________business day after the day of your deposit.

You acknowledge receipt of a copy of this notice indicating the hold on your deposit and the day the funds will be available.

Account Holder: ___________________________________ Date: _______________

NOTICE OF DELAYED AVAILABILITY

Financial Institution

Citizens Commerce National Bank

PO Box 1028

Versailles, KY 40383

Account Holder & Address

___________________________

______________________________

______________________________

Account Number: _________________

Date of Transaction: _________________

Amount of Deposit: _________________

* If you did not receive this notice at the time you made the deposit and the check(s) you deposited is/are paid, we will refund to you any fees for any overdrafts or returned checks that result solely from the additional delay we are imposing. To obtain a refund of such fees you may contact us at the address above, or call us at 859-879-9455 or write to us at our address listed above.

□ CASE-BY-CASE HOLD*

We are delaying the availability of $_______________ from the transaction(s) listed above. These funds will be available on the ___________ business day after the day of your transaction.

□ EXCEPTION HOLD

We are delaying the availability of $________________ from the transaction(s) listed above. These funds will be available on the ____________ business day after the day of your deposit.

We are taking this action because:

□ A check you deposited was previously returned unpaid.

□ You have overdrawn your account repeatedly in the last six months.

□ An emergency, such as failure of computer or communications equipment, has occurred.

□ We believe a check you deposited will not be paid for the following reasons:

□ We received notice that the check is being returned unpaid.

□ We are unable to verify an endorsement.

□ There are erasures or other apparent alterations on the check.

□ The check is postdated or has a stale date.

□ The check has an invalid routing and/or account number.

□ Information from the paying bank indicates that the check may not be paid.

□ We have confidential information that indicates that the check may not be paid.

□ Other: __________________________________________________________

(Verify with supervisor.)

□ The checks you deposited on this day exceed $5000.00*

(Complete only if using this exception reason.)

The checks you deposited on this day exceed $5,000. We are delaying the availability of $________________ from this deposit. $_____________ of these funds will be available on the _____________ business day after the day of your deposit, and $_________________ (the remainder) of these funds will be available on the ___________business day after the day of your deposit.

You acknowledge receipt of a copy of this notice indicating the hold on your deposit and the day the funds will be available.

Account Holder: ___________________________________ Date: _______________

-----------------------

Hold Completed by: ___________ Date Completed: _______________ If notice was mailed list date?______________

Reviewed by: ___________ Date Reviewed: _______________ Comments: ____________________________

______________________________________

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