CITY OF SMITHVILLE, KANSAS
Bank Deposits Insurance Coverage
Month-End Documentation
Purpose. The purpose of this form is to document, usually at the end of each month, that all deposits at a bank are fully protected by FDIC insurance and pledged securities. This form should be completed for each bank the city has deposits in.
Bank Name______________________________________________________
Month-End Date__________________________________________________
FDIC Insurance _______________
Pledged Securities – Market Value (see attachment) _______________
Total Insurance + Pledged Securities _______________
Bank Account or CD Description Book Balance Bank Balance
____________________________ ________________ _ _______________
____________________________ _________________ _______________
____________________________ _________________ _______________
____________________________ _________________ _______________
____________________________ _________________ _______________
____________________________ _________________ _______________
____________________________ _________________ _______________
____________________________ _________________ _______________
____________________________ _________________ _______________
Total Deposits _______________
Excess Insurance and Pledged Securities
(Total Insurance + Pledged Securities – Total Deposits) _______________
Sources of Information for Book Balance (Carrying Amount) and Bank Balance: bank account reconciliations and CD statements from bank.
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