12346 Verification of Deposit - Wells Fargo
12346
Verification of Deposit
Wells Fargo Home Mortgage
For faster processing, please complete the form on your computer before printing.
This form is for Wells Fargo Home Mortgage to request consumer deposit information for a mortgage customer. Please complete the form in its entirety and fax it along with the customer authorization to the number listed below. Your completed request will be faxed to you.
Please note, we are unable to process incomplete forms. Original requests cannot be returned.
TYPE or complete in BLACK INK. Use only CAPITAL LETTERS
Fax Requests To.............................................................................................................................................................844-879-0253 Online Instructions............................................................................................................................../vod VOD Customer Service...................................................................................................................................................540-563-7323
SECTION 1: REQUESTER INFORMATION
Company Name Attention
Street Address
City
State
Zip
Requester Email (optional)
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-
Requester Phone Number
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-
Return Fax Number
SECTION 2: CUSTOMER INFORMATION
Customer One Full Name (First Middle Last) Customer Two Full Name (First Middle Last)
Account Number(s) (Required)
Attach Customer Authorization
/
/ 20
Month
Day
Year
CUSTOMER INDEMNIFICATION PLEASE READ INSTRUCTIONS AND VERIFY THAT ALL FIELDS ARE COMPLETED
I have attached a signed and dated customer authorization that permits Wells Fargo Bank, N.A. to release information to the requesting person. I understand that if the information I have provided herein is not accurate or complete, my credit application may be delayed or declined.
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